Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $64.57	Professional		$38.02	$54.95	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Facility		$213.80	$213.80	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $275.42	Professional		$70.79	$70.79	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $467.74	Facility		$194.98	$309.03	$467.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $138.04	Professional		$46.77	$64.57	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $331.13 / $398.11	Facility		$181.97	$331.13	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $109.65	Professional		$41.69	$58.88	$109.65