Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $107.15	Professional		$45.71	$57.54	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $120.23	Facility		$67.61	$67.61	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $173.78	Professional		$77.62	$125.89	$173.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $117.49 / $147.91	Facility		$40.74	$117.49	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $93.33	Professional		$53.70	$58.88	$93.33