Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $69.00 / $69.00	Facility		$69.00	$69.00	$69.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $58.08 / $88.76	Professional		$44.52	$58.08	$88.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $119.28 / $119.28	Professional		$119.28	$119.28	$119.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $72.18 / $84.92	Professional		$68.12	$72.18	$84.92
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $104.30	Professional		$91.30	$91.30	$104.30