Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $120.23	Professional		$61.66	$72.44	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $165.96	Facility		$81.28	$89.13	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $89.13	Professional		$66.07	$66.07	$89.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $239.88	Professional		$107.15	$173.78	$239.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $165.96	Facility		$77.62	$107.15	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $128.82	Professional		$72.44	$85.11	$128.82