Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $316.23	Facility		$66.07	$95.50	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $85.11	Professional		$33.88	$42.66	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $112.20 / $234.42	Facility		$58.88	$112.20	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $131.83	Professional		$34.67	$58.88	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $97.72	Professional		$36.31	$57.54	$97.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $10,471.29 / $25,118.86	Facility		$51.29	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $51.29	Professional		$40.74	$40.74	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $51.29 / $104.71	Facility		$23.99	$51.29	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $72.44	Professional		$21.38	$30.90	$72.44