Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $37.15	Professional		$14.13	$25.70	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Professional		$21.88	$21.88	$25.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $63.10	Professional		$28.18	$45.71	$63.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.42 / $43.65	Facility		$14.45	$20.42	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $33.88	Professional		$16.60	$21.38	$33.88