Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Facility		$45.37	$45.37	$45.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $62.35 / $77.34	Professional		$45.37	$62.35	$77.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $133.26	Facility		$80.45	$80.45	$133.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $116.69	Professional		$58.73	$58.73	$116.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $122.60 / $174.57	Professional		$121.74	$122.60	$174.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $133.26 / $133.26	Professional		$130.13	$133.26	$133.26
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $66.48 / $133.26	Professional		$58.32	$66.48	$133.26