Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $28.01 / $28.01	Facility		$28.01	$28.01	$28.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $34.04 / $49.56	Professional		$28.01	$34.04	$49.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $76.23	Facility		$62.01	$62.01	$76.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $66.73	Professional		$52.71	$52.71	$66.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $70.13 / $99.86	Professional		$69.62	$70.13	$99.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $35.65 / $50.70	Professional		$35.65	$35.65	$50.70
United Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $52.44 / $76.23	Facility		$46.00	$52.44	$76.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $39.56 / $76.23	Professional		$34.36	$39.56	$76.23