Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $62.61 / $62.61	Facility		$62.61	$62.61	$62.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $87.60 / $122.90	Professional		$62.61	$87.60	$122.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $183.93	Facility		$111.95	$111.95	$183.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $161.06	Professional		$81.72	$81.72	$161.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $169.22 / $240.95	Professional		$168.03	$169.22	$240.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.62 / $183.93 / $183.93	Professional		$179.62	$183.93	$183.93
United Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $91.76 / $183.93	Professional		$81.15	$91.76	$183.93