Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Facility		$39.65	$39.65	$39.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $53.52 / $68.44	Professional		$39.65	$53.52	$68.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $84.33 / $116.46	Facility		$74.30	$84.33	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $101.98	Professional		$61.56	$61.56	$101.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $107.14 / $152.56	Professional		$106.40	$107.14	$152.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $116.46 / $116.46	Professional		$113.73	$116.46	$116.46
United Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $58.10 / $116.46	Professional		$51.62	$58.10	$116.46