Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $76.44 / $394.14	Facility		$39.20	$76.44	$394.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $61.31 / $88.24	Professional		$39.20	$61.31	$88.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $206.42 / $310.10	Facility		$67.65	$206.42	$310.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $46.23 / $99.23	Professional		$33.02	$46.23	$99.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $39.52 / $50.69	Professional		$39.52	$39.52	$50.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.83 / $416.61 / $13,785.00	Facility		$76.83	$416.61	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $92.52 / $136.03	Professional		$85.33	$92.52	$136.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $45.20 / $110.50	Professional		$24.34	$45.20	$110.50