Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $228.13	Facility		$71.40	$71.40	$228.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $69.72 / $71.40	Professional		$67.20	$69.72	$71.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.69 / $71.40 / $78.54	Facility		$60.69	$71.40	$78.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $41.33 / $41.33	Professional		$41.33	$41.33	$41.33
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $84.00	Professional		$79.80	$79.80	$84.00