Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $61.17	Facility		$38.25	$38.25	$61.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $37.35 / $38.25	Professional		$36.00	$37.35	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $38.25 / $46.20	Facility		$35.70	$38.25	$46.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $35.70 / $35.70	Professional		$35.70	$35.70	$35.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $150.34 / $158.04	Professional		$127.79	$150.34	$158.04
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $42.84	Professional		$37.50	$37.50	$42.84