Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $42.35 / $176.97	Facility		$26.64	$42.35	$176.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $26.65 / $35.38	Professional		$10.72	$26.65	$35.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $75.78 / $157.77	Facility		$33.77	$75.78	$157.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $43.51 / $99.45	Professional		$25.06	$43.51	$99.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $36.15 / $62.73	Professional		$24.10	$36.15	$62.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $13,785.00 / $13,785.00	Facility		$24.10	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Professional		$24.10	$24.10	$24.10
United Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $30.99 / $41.32	Facility		$18.94	$30.99	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $30.17 / $49.17	Professional		$15.29	$30.17	$49.17