Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.03 / $59.03 / $59.03	Facility		$59.03	$59.03	$59.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $90.50 / $108.94	Professional		$59.03	$90.50	$108.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.45 / $144.01 / $173.41	Facility		$108.45	$144.01	$173.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $151.85	Professional		$105.13	$105.13	$151.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $159.54 / $227.17	Professional		$158.41	$159.54	$227.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.35 / $173.41 / $173.41	Professional		$169.35	$173.41	$173.41
United Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $86.51 / $167.54	Professional		$77.86	$86.51	$167.54