Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $208.01 / $23,628.20	Facility		$85.12	$208.01	$23,628.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $103.15	Professional		$85.12	$85.12	$103.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $92.38 / $119.55	Facility		$85.12	$92.38	$119.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $88.33	Professional		$85.12	$85.12	$88.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $92.35 / $103.85	Professional		$88.33	$92.35	$103.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.74 / $381.06 / $13,785.00	Facility		$184.74	$381.06	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $83.87 / $85.25	Professional		$79.76	$83.87	$85.25
United Facility/Professional Facility Modifier Low / Median / High Price $76.76 / $76.76 / $76.76	Facility		$76.76	$76.76	$76.76
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $89.80 / $102.14	Professional		$85.12	$89.80	$102.14