Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.26 / $38.26 / $38.26	Facility		$38.26	$38.26	$38.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $45.41 / $61.46	Professional		$38.26	$45.41	$61.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $72.18 / $112.35	Facility		$59.21	$72.18	$112.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $52.69 / $107.87	Professional		$52.69	$52.69	$107.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $103.36 / $147.18	Professional		$102.66	$103.36	$147.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $112.35 / $112.35	Professional		$109.72	$112.35	$112.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $56.05 / $103.15	Professional		$44.32	$56.05	$103.15