Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $144.54	Professional		$60.26	$72.44	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $120.23	Facility		$52.48	$52.48	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $52.48	Professional		$38.02	$38.02	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $173.78	Professional		$77.62	$131.83	$173.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $173.78	Professional		$117.49	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $213.80	Facility		$77.62	$120.23	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $169.82	Professional		$93.33	$104.71	$169.82