Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Facility		$19.85	$19.85	$19.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $25.37 / $32.10	Professional		$19.85	$25.37	$32.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $58.29	Facility		$43.99	$43.99	$58.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $51.04	Professional		$32.11	$32.11	$51.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $53.63 / $76.36	Professional		$53.26	$53.63	$76.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $58.29 / $58.29	Professional		$56.92	$58.29	$58.29
United Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $29.08 / $58.29	Professional		$22.57	$29.08	$58.29