Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $83.84 / $134.59	Facility		$55.16	$83.84	$134.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.71	Professional		$55.16	$55.16	$55.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $58.68 / $75.93	Facility		$52.04	$58.68	$75.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $55.16 / $55.16	Professional		$54.60	$55.16	$55.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $54.58 / $59.85	Professional		$48.16	$54.58	$59.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $55.16 / $56.69	Professional		$46.33	$55.16	$56.69
United Facility/Professional Facility Modifier Low / Median / High Price $94.82 / $94.82 / $94.82	Facility		$94.82	$94.82	$94.82
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $64.20	Professional		$22.06	$55.16	$64.20