Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $32.74	Professional		$23.90	$23.90	$32.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $56.29 / $56.29	Professional		$56.29	$56.29	$56.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $33.01 / $39.00	Professional		$28.05	$33.01	$39.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.17 / $121.17 / $121.17	Professional		$121.17	$121.17	$121.17