Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $125.89 / $177.83	Facility		$47.86	$125.89	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $114.82	Professional		$61.66	$75.86	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $169.82	Professional		$67.61	$104.71	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $158.49	Professional		$93.33	$128.82	$158.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $186.21	Professional		$79.43	$93.33	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $58.88 / $64.57	Facility		$52.48	$58.88	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $134.90	Professional		$47.86	$75.86	$134.90