Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $100.00	Professional		$48.98	$69.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $91.20 / $134.90	Facility		$85.11	$91.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Professional		$67.61	$67.61	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $194.98	Professional		$87.10	$141.25	$194.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $134.90	Facility		$43.65	$67.61	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $109.65	Professional		$56.23	$66.07	$109.65