Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $50.45 / $148.16	Facility		$38.51	$50.45	$148.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $38.51 / $48.77	Professional		$29.65	$38.51	$48.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.29 / $254.22 / $342.91	Facility		$117.29	$254.22	$342.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $146.58	Professional		$25.50	$25.50	$146.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $48.13 / $48.13	Professional		$48.13	$48.13	$48.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $64.78 / $148.16	Facility		$38.51	$64.78	$148.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $38.58 / $64.78	Professional		$29.65	$38.58	$64.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $254.22 / $350.45	Facility		$107.42	$254.22	$350.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $146.58	Professional		$25.50	$25.50	$146.58
United Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $45.91 / $79.02	Professional		$37.94	$45.91	$79.02