Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $64.84 / $64.84	Facility		$64.84	$64.84	$64.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $82.89 / $104.82	Professional		$64.84	$82.89	$104.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $190.45	Facility		$112.22	$112.22	$190.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $226.13	Professional		$81.92	$81.92	$226.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.01 / $175.21 / $249.49	Professional		$174.01	$175.21	$249.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.99 / $190.45 / $190.45	Professional		$185.99	$190.45	$190.45
United Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $95.02 / $190.45	Professional		$78.98	$95.02	$190.45