Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.03 / $46.03 / $46.03	Facility		$46.03	$46.03	$46.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $39.72 / $46.98	Professional		$20.32	$39.72	$46.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $23.68 / $28.44	Facility		$23.68	$23.68	$28.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $26.64 / $78.86	Professional		$12.18	$26.64	$78.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $18.78 / $33.72	Professional		$8.36	$18.78	$33.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.54 / $95.43 / $108.49	Facility		$79.54	$95.43	$108.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.29 / $64.47	Professional		$27.54	$38.29	$64.47
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $41.24 / $68.59	Professional		$18.23	$41.24	$68.59