Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $22.61 / $22.61	Facility		$22.61	$22.61	$22.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.71 / $24.52	Professional		$16.86	$19.71	$24.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.25 / $266.25 / $319.76	Facility		$266.25	$266.25	$319.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $27.22 / $46.81	Professional		$17.53	$27.22	$46.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $29.45 / $41.76	Professional		$24.12	$29.45	$41.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.85 / $313.30 / $356.23	Facility		$252.85	$313.30	$356.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $23.53 / $37.60	Professional		$15.29	$23.53	$37.60
United Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $20.21 / $37.84	Professional		$15.24	$20.21	$37.84