Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $28.17 / $57.23	Facility		$28.17	$28.17	$57.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $28.17 / $35.97	Professional		$23.52	$28.17	$35.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $82.54 / $157.76	Facility		$68.73	$82.54	$157.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $31.69 / $31.80	Professional		$13.45	$31.69	$31.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $56.24	Professional		$20.05	$20.05	$56.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.85 / $757.08 / $860.77	Facility		$693.85	$757.08	$860.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $38.72 / $60.07	Professional		$28.39	$38.72	$60.07
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $31.37 / $59.22	Professional		$20.05	$31.37	$59.22