Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $95.27 / $242.55	Facility		$72.56	$95.27	$242.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $93.03 / $95.27	Professional		$89.66	$93.03	$95.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $102.00 / $132.00	Facility		$95.27	$102.00	$132.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Professional		$64.75	$64.75	$64.75
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $112.08	Professional		$100.00	$100.00	$112.08