Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $113.55 / $196.49	Facility		$80.53	$113.55	$196.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $78.63 / $80.53	Professional		$75.79	$78.63	$80.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.14 / $83.69 / $92.06	Facility		$71.14	$83.69	$92.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Professional		$80.53	$83.69	$83.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $80.53 / $85.27	Professional		$72.63	$80.53	$85.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $80.53 / $80.53	Professional		$80.53	$80.53	$80.53
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $94.74 / $99.48	Professional		$37.90	$94.74	$99.48