Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.90 / $181.97	Facility		$37.15	$38.90	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $47.86	Professional		$15.14	$22.91	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $134.90	Facility		$33.88	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $54.95	Professional		$16.60	$29.51	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $54.95	Professional		$20.42	$30.90	$54.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $10,471.29 / $25,118.86	Facility		$29.51	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Professional		$22.91	$22.91	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $60.26	Facility		$13.80	$29.51	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.38 / $30.90	Professional		$11.75	$17.38	$30.90