Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $194.98	Facility		$72.44	$85.11	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $77.62	Professional		$56.23	$56.23	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $83.18	Facility		$52.48	$64.57	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $69.18	Professional		$56.23	$56.23	$69.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $9,772.37 / $25,118.86	Facility		$109.65	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $91.20	Facility		$45.71	$66.07	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $63.10	Professional		$54.95	$57.54	$63.10