Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $63.77 / $63.77	Facility		$63.77	$63.77	$63.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $76.50 / $88.25	Professional		$63.77	$76.50	$88.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $187.31	Facility		$89.11	$89.11	$187.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $164.02	Professional		$65.05	$65.05	$164.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $172.33 / $245.38	Professional		$171.12	$172.33	$245.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $187.31 / $187.31	Professional		$182.92	$187.31	$187.31
United Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $93.45 / $146.60	Professional		$70.09	$93.45	$146.60