Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $114.82 / $128.82	Facility		$47.86	$114.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $128.82	Professional		$60.26	$74.13	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $398.11	Facility		$79.43	$79.43	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $165.96	Professional		$63.10	$100.00	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $138.04	Professional		$83.18	$114.82	$138.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $177.83	Professional		$58.88	$81.28	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $70.79 / $77.62	Facility		$64.57	$70.79	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $131.83	Professional		$41.69	$72.44	$131.83