Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Facility		$78.06	$78.06	$78.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $85.68 / $117.60	Professional		$62.95	$85.68	$117.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.97 / $133.72 / $133.72	Facility		$123.97	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $160.50	Professional		$97.62	$97.62	$160.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $136.37 / $209.52	Professional		$114.05	$136.37	$209.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Professional		$190.69	$190.69	$190.69
United Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $113.96 / $185.31	Professional		$86.90	$113.96	$185.31