Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.26 / $47.26 / $47.26	Facility		$47.26	$47.26	$47.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $66.34 / $89.55	Professional		$47.26	$66.34	$89.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.80 / $112.36 / $138.83	Facility		$86.80	$112.36	$138.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $121.56	Professional		$82.02	$82.02	$121.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $127.72 / $181.87	Professional		$126.82	$127.72	$181.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $135.58 / $138.83	Professional		$121.56	$135.58	$138.83
United Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $69.26 / $127.45	Professional		$61.24	$69.26	$127.45