Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Facility		$24.95	$24.95	$24.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $31.89 / $40.32	Professional		$24.95	$31.89	$40.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $73.27	Facility		$41.91	$41.91	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $87.00	Professional		$30.59	$30.59	$87.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $67.41 / $95.98	Professional		$66.94	$67.41	$95.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $34.27 / $48.74	Professional		$34.27	$34.27	$48.74
United Facility/Professional Facility Modifier Low / Median / High Price $76.02 / $89.43 / $107.32	Facility		$76.02	$89.43	$107.32
United Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $36.56 / $67.28	Professional		$30.38	$36.56	$67.28