Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $38.78 / $140.27	Facility		$15.51	$38.78	$140.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $21.29 / $25.93	Professional		$14.89	$21.29	$25.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $59.90 / $125.05	Facility		$26.67	$59.90	$125.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $27.20 / $56.29	Professional		$16.05	$27.20	$56.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $28.65 / $39.57	Professional		$19.10	$28.65	$39.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $13,785.00 / $13,785.00	Facility		$19.10	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Professional		$19.10	$19.10	$19.10
United Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $15.01 / $15.01	Facility		$15.01	$15.01	$15.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $16.37 / $30.00	Professional		$10.92	$16.37	$30.00