Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $45.16 / $45.16	Facility		$45.16	$45.16	$45.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $60.41 / $85.07	Professional		$45.16	$60.41	$85.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $106.22 / $132.68	Facility		$78.56	$106.22	$132.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $116.18	Professional		$77.54	$77.54	$116.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $122.07 / $173.81	Professional		$121.21	$122.07	$173.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $132.68 / $132.68	Professional		$129.57	$132.68	$132.68
United Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $65.59 / $75.06	Facility		$59.82	$65.59	$75.06
United Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $66.19 / $121.80	Professional		$59.77	$66.19	$121.80