Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $34.51 / $34.51	Facility		$34.51	$34.51	$34.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $54.07 / $63.68	Professional		$34.51	$54.07	$63.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $87.42 / $101.38	Facility		$61.25	$87.42	$101.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $63.82 / $90.04	Professional		$63.82	$63.82	$90.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $93.27 / $132.81	Professional		$92.61	$93.27	$132.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $101.38 / $101.38	Professional		$99.00	$101.38	$101.38
United Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $51.13 / $101.38	Professional		$45.52	$51.13	$101.38