Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $88.13 / $188.03	Facility		$68.20	$88.13	$188.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $86.61	Professional		$68.20	$68.20	$86.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.63 / $123.63 / $160.00	Facility		$64.63	$123.63	$160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $71.43	Professional		$68.20	$68.20	$71.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $73.98 / $92.34	Professional		$70.77	$73.98	$92.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $137.63 / $13,785.00	Facility		$59.53	$137.63	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $74.34 / $207.10	Professional		$61.78	$74.34	$207.10
United Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $119.37 / $169.90	Facility		$59.53	$119.37	$169.90
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $71.95 / $83.58	Professional		$68.20	$71.95	$83.58