Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.83 / $35.28	Facility		$16.22	$21.83	$35.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.38	Professional		$16.22	$16.22	$16.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $40.19 / $51.53	Facility		$16.22	$40.19	$51.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $18.84	Professional		$16.22	$16.22	$18.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $77.14 / $81.97	Professional		$17.59	$77.14	$81.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $8,702.00 / $13,785.00	Facility		$14.80	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $27.41	Professional		$14.46	$14.46	$27.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $110.29	Professional		$6.49	$16.22	$110.29