Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $47.86	Professional		$16.98	$16.98	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $33.88	Professional		$30.90	$30.90	$33.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $144.54	Professional		$123.03	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33