Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $39.18 / $39.18	Facility		$39.18	$39.18	$39.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $52.40 / $68.52	Professional		$39.18	$52.40	$68.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $100.76	Professional		$48.04	$48.04	$100.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.87 / $150.75	Professional		$105.13	$105.87	$150.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $115.08 / $115.08	Professional		$112.38	$115.08	$115.08
United Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $140.44 / $168.53	Facility		$119.37	$140.44	$168.53
United Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $57.41 / $105.65	Professional		$47.72	$57.41	$105.65