Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $54.31 / $54.31	Facility		$54.31	$54.31	$54.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $21.83 / $54.31	Professional		$18.07	$21.83	$54.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $46.16	Facility		$30.59	$30.59	$46.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $40.42	Professional		$22.33	$22.33	$40.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $42.47 / $60.47	Professional		$42.17	$42.47	$60.47
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Professional		$30.70	$30.70	$30.70
United Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $56.45 / $67.73	Facility		$47.98	$56.45	$67.73
United Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $25.36 / $46.16	Professional		$20.81	$25.36	$46.16