Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $64.27 / $64.27	Facility		$64.27	$64.27	$64.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $82.16 / $110.26	Professional		$64.27	$82.16	$110.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $188.78	Facility		$121.82	$121.82	$188.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $165.31	Professional		$88.93	$88.93	$165.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $173.68 / $247.30	Professional		$172.48	$173.68	$247.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.36 / $188.78 / $188.78	Professional		$184.36	$188.78	$188.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $94.19 / $188.78	Professional		$79.56	$94.19	$188.78