Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $83.18	Professional		$28.18	$42.66	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $52.48 / $72.44	Facility		$40.74	$52.48	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $52.48	Professional		$38.90	$38.90	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $104.71	Professional		$47.86	$77.62	$104.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $43.65 / $83.18	Facility		$26.92	$43.65	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $58.88	Professional		$32.36	$36.31	$58.88