Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $40.47 / $40.47	Facility		$40.47	$40.47	$40.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $49.20 / $87.41	Professional		$40.47	$49.20	$87.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $68.84 / $110.17	Facility		$63.72	$68.84	$110.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $143.63	Professional		$50.25	$50.25	$143.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $101.36 / $144.32	Professional		$100.65	$101.36	$144.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $110.17 / $110.17	Professional		$107.59	$110.17	$110.17
United Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $54.96 / $110.17	Professional		$49.67	$54.96	$110.17