Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $47.18 / $47.18	Facility		$47.18	$47.18	$47.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $66.27 / $85.76	Professional		$47.18	$66.27	$85.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $89.65 / $138.60	Facility		$80.01	$89.65	$138.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $121.36	Professional		$65.44	$65.44	$121.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $127.51 / $181.57	Professional		$126.62	$127.51	$181.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $138.60 / $138.60	Professional		$131.91	$138.60	$138.60
United Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $69.14 / $138.60	Professional		$62.23	$69.14	$138.60