Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $47.42 / $47.42	Facility		$20.27	$47.42	$47.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $56.50 / $73.12	Professional		$47.42	$56.50	$73.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $77.09 / $139.32	Facility		$76.56	$77.09	$139.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $121.99	Professional		$56.28	$56.28	$121.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $128.16 / $182.51	Professional		$127.28	$128.16	$182.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $139.32 / $139.32	Professional		$136.05	$139.32	$139.32
United Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $69.50 / $127.90	Professional		$55.15	$69.50	$127.90