Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $38.58 / $38.58	Facility		$38.58	$38.58	$38.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $54.86 / $65.12	Professional		$38.58	$54.86	$65.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $75.47 / $113.33	Facility		$71.20	$75.47	$113.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $99.24	Professional		$55.09	$55.09	$99.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $104.26 / $148.46	Professional		$103.53	$104.26	$148.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $113.33 / $113.33	Professional		$107.87	$113.33	$113.33
United Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $58.28 / $110.84	Professional		$46.78	$58.28	$110.84