Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $97.72 / $97.72	Facility		$12.02	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $21.88	Professional		$10.00	$12.02	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $30.20	Facility		$22.39	$22.39	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $43.65	Professional		$19.50	$33.11	$43.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $28.84 / $48.98	Facility		$10.23	$28.84	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $23.44	Professional		$12.02	$14.13	$23.44