Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $42.88 / $42.88	Facility		$42.88	$42.88	$42.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $49.29 / $57.38	Professional		$41.77	$49.29	$57.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $125.94	Facility		$61.81	$61.81	$125.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $110.28	Professional		$45.12	$45.12	$110.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.86 / $164.98	Professional		$115.07	$115.86	$164.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $125.94 / $125.94	Professional		$122.99	$125.94	$125.94
United Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $62.83 / $97.02	Professional		$45.77	$62.83	$97.02