Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $67.53 / $67.53	Facility		$67.53	$67.53	$67.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $74.54 / $109.17	Professional		$56.38	$74.54	$109.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $128.79 / $128.79	Facility		$107.48	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $139.13	Professional		$94.02	$94.02	$139.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $118.23 / $174.01	Professional		$98.88	$118.23	$174.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $158.36 / $158.36	Professional		$107.48	$158.36	$158.36
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $95.02 / $156.47	Professional		$80.33	$95.02	$156.47