Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $67.65 / $136.57	Facility		$52.47	$67.65	$136.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $57.72	Professional		$52.47	$52.47	$57.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $54.03 / $69.93	Facility		$49.50	$54.03	$69.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $54.45	Professional		$52.47	$52.47	$54.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $51.80 / $64.01	Professional		$51.80	$51.80	$64.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $105.88 / $13,785.00	Facility		$87.42	$105.88	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $49.73 / $51.39	Professional		$45.42	$49.73	$51.39
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $55.09 / $60.73	Professional		$52.47	$55.09	$60.73