Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.75 / $44.75 / $44.75	Facility		$44.75	$44.75	$44.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $57.23 / $77.47	Professional		$44.75	$57.23	$77.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $79.77 / $131.44	Facility		$73.70	$79.77	$131.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $115.11	Professional		$58.23	$58.23	$115.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $120.93 / $172.20	Professional		$120.09	$120.93	$172.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $131.44 / $131.44	Professional		$128.37	$131.44	$131.44
United Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $65.58 / $131.44	Professional		$55.86	$65.58	$131.44