Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $29.43 / $29.43	Facility		$29.43	$29.43	$29.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $39.36 / $55.91	Professional		$29.43	$39.36	$55.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $54.02 / $86.44	Facility		$49.95	$54.02	$86.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $133.50	Professional		$39.43	$39.43	$133.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $79.52 / $113.24	Professional		$78.97	$79.52	$113.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $86.44 / $86.44	Professional		$84.42	$86.44	$86.44
United Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $115.26 / $138.31	Facility		$97.97	$115.26	$138.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $43.13 / $79.34	Professional		$38.82	$43.13	$79.34