Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $128.82	Professional		$54.95	$69.18	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $144.54	Facility		$81.28	$81.28	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Professional		$60.26	$60.26	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $208.93	Professional		$95.50	$151.36	$208.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $104.71 / $151.36	Facility		$48.98	$104.71	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $117.49	Professional		$64.57	$70.79	$117.49