Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $27.63 / $27.63	Facility		$27.63	$27.63	$27.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $27.63 / $46.83	Professional		$17.32	$27.63	$46.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $35.97	Facility		$33.97	$33.97	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $39.97	Professional		$28.88	$28.88	$39.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $52.04 / $74.09	Professional		$51.67	$52.04	$74.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $37.61 / $37.61	Professional		$19.13	$37.61	$37.61
United Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $28.22 / $44.27	Professional		$21.79	$28.22	$44.27