Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $63.10	Professional		$26.92	$34.67	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $72.44	Facility		$46.77	$46.77	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Professional		$33.88	$33.88	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $104.71	Professional		$46.77	$75.86	$104.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $70.79 / $89.13	Facility		$37.15	$70.79	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $58.88	Professional		$31.62	$37.15	$58.88