Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $147.91	Facility		$38.90	$38.90	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $42.66	Professional		$22.91	$30.20	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $97.72	Facility		$58.88	$85.11	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $23.99 / $64.57	Professional		$13.49	$23.99	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $23.44	Professional		$11.22	$11.22	$23.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $9,120.11 / $25,118.86	Facility		$45.71	$9,120.11	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $112.20	Professional		$48.98	$60.26	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $151.36 / $309.03	Facility		$74.13	$151.36	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.42 / $30.90	Professional		$11.48	$20.42	$30.90