Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $56.23	Professional		$23.99	$30.20	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $64.57	Facility		$38.02	$38.02	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $93.33	Professional		$41.69	$67.61	$93.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $63.10 / $77.62	Facility		$21.88	$63.10	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $48.98	Professional		$28.18	$31.62	$48.98