Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $25.64 / $138.60	Facility		$13.15	$25.64	$138.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $24.31 / $32.49	Professional		$13.15	$24.31	$32.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $72.90 / $111.55	Facility		$65.63	$72.90	$111.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.78 / $59.21	Professional		$12.30	$20.78	$59.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $9.44 / $14.54	Professional		$7.52	$9.44	$14.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $416.61 / $13,785.00	Facility		$27.13	$416.61	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $51.93 / $71.58	Professional		$37.26	$51.93	$71.58
United Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.30 / $26.55	Professional		$10.23	$18.30	$26.55