Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $217.44 / $659.86	Facility		$87.56	$217.44	$659.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $165.21	Professional		$87.57	$87.57	$165.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $254.05 / $528.62	Facility		$80.61	$254.05	$528.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $88.95 / $222.80	Professional		$20.61	$88.95	$222.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $80.75 / $153.66	Professional		$53.07	$80.75	$153.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $4,207.00 / $13,785.00	Facility		$80.75	$4,207.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.75 / $80.75	Professional		$80.75	$80.75	$80.75
United Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $79.16 / $82.28	Facility		$40.38	$79.16	$82.28
United Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $69.22 / $169.35	Professional		$46.14	$69.22	$169.35