Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $316.23	Facility		$91.20	$91.20	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $95.50	Professional		$48.98	$64.57	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $208.93	Facility		$125.89	$181.97	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $144.54	Professional		$34.67	$53.70	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $169.82	Professional		$83.18	$83.18	$169.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,332.54 / $25,118.86	Facility		$100.00	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $223.87	Professional		$109.65	$131.83	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $602.56	Facility		$151.36	$295.12	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $70.79	Professional		$25.70	$45.71	$70.79