Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $72.00 / $80.87	Professional		$61.50	$72.00	$80.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $117.15	Facility		$52.17	$52.17	$117.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $151.88	Professional		$38.08	$38.08	$151.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $128.87 / $153.47	Professional		$107.78	$128.87	$153.47
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $173.03 / $173.03	Professional		$117.15	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $103.82 / $170.81	Professional		$86.33	$103.82	$170.81