Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $56.87 / $56.87	Facility		$56.86	$56.87	$56.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $74.67 / $97.87	Professional		$56.87	$74.67	$97.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.21 / $117.36 / $167.02	Facility		$103.21	$117.36	$167.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $146.26	Professional		$85.67	$85.67	$146.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $153.66 / $218.80	Professional		$152.59	$153.66	$218.80
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $167.02 / $167.02	Professional		$163.11	$167.02	$167.02
United Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $83.33 / $153.34	Professional		$68.37	$83.33	$153.34