Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $48.62 / $48.62	Facility		$48.62	$48.62	$48.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $62.16 / $78.62	Professional		$48.62	$62.16	$78.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $142.83	Facility		$81.70	$81.70	$142.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $125.07	Professional		$59.64	$59.64	$125.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $131.40 / $187.11	Professional		$130.47	$131.40	$187.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $142.83 / $142.83	Professional		$139.47	$142.83	$142.83
United Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $71.26 / $142.83	Professional		$59.22	$71.26	$142.83