Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.42 / $49.42 / $49.42	Facility		$49.42	$49.42	$49.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $66.09 / $89.83	Professional		$49.42	$66.09	$89.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $100.43 / $145.16	Facility		$81.97	$100.43	$145.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $127.12	Professional		$73.31	$73.31	$127.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $133.56 / $190.17	Professional		$132.63	$133.56	$190.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.77 / $145.16 / $145.16	Professional		$141.77	$145.16	$145.16
United Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $72.43 / $145.16	Professional		$65.39	$72.43	$145.16