Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $38.49 / $38.49	Facility		$38.49	$38.49	$38.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $49.21 / $67.28	Professional		$38.49	$49.21	$67.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $113.11	Facility		$64.66	$64.66	$113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $94.95	Professional		$47.20	$64.66	$94.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $104.06 / $148.16	Professional		$103.32	$104.06	$148.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $113.11 / $113.11	Professional		$110.46	$113.11	$113.11
United Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $56.42 / $103.83	Professional		$46.87	$56.42	$103.83