Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $80.75 / $238.87	Facility		$32.29	$80.75	$238.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $35.50 / $49.94	Professional		$31.00	$35.50	$49.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.82 / $92.38 / $191.36	Facility		$40.82	$92.38	$191.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $51.96 / $116.97	Professional		$30.37	$51.96	$116.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $43.85 / $60.55	Professional		$29.23	$43.85	$60.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $8,702.00 / $13,785.00	Facility		$29.23	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $29.23 / $29.23	Professional		$29.23	$29.23	$29.23
United Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $37.58 / $50.11	Facility		$22.97	$37.58	$50.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $25.06 / $61.25	Professional		$17.54	$25.06	$61.25