Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $93.33	Professional		$39.81	$51.29	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $107.15	Facility		$60.26	$60.26	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $154.88	Professional		$69.18	$112.20	$154.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $104.71 / $131.83	Facility		$36.31	$104.71	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $81.28	Professional		$45.71	$52.48	$81.28