Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $27.71 / $27.71	Facility		$27.71	$27.71	$27.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $40.15 / $51.13	Professional		$27.71	$40.15	$51.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $61.62 / $81.39	Facility		$51.25	$61.62	$81.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $44.98 / $71.27	Professional		$44.98	$44.98	$71.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.88 / $106.62	Professional		$74.36	$74.88	$106.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $81.39 / $81.39	Professional		$77.47	$81.39	$81.39
United Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $42.48 / $81.39	Professional		$36.70	$42.48	$81.39