Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.38 / $47.86	Facility		$18.20	$21.38	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.60 / $21.88	Facility		$13.49	$16.60	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.38	Professional		$14.13	$14.13	$17.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $9,549.93 / $25,118.86	Facility		$26.92	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.98 / $25.12	Facility		$12.02	$16.98	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.79 / $16.22	Professional		$13.80	$14.79	$16.22