Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $130.38 / $8,290.99	Facility		$100.09	$130.38	$8,290.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $111.19	Professional		$100.09	$100.09	$111.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $104.59 / $135.36	Facility		$100.09	$104.59	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $103.86	Professional		$100.09	$100.09	$103.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $108.58 / $125.64	Professional		$103.86	$108.58	$125.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.35 / $8,702.00 / $13,785.00	Facility		$217.35	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $96.95 / $100.30	Professional		$87.00	$96.95	$100.30
United Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Facility		$86.00	$86.00	$86.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $105.59 / $119.11	Professional		$100.09	$105.59	$119.11