Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $64.98 / $64.98	Facility		$64.98	$64.98	$64.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $83.08 / $131.29	Professional		$64.98	$83.08	$131.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $119.29 / $190.90	Facility		$111.31	$119.29	$190.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $295.13	Professional		$87.08	$87.08	$295.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $175.63 / $250.08	Professional		$174.41	$175.63	$250.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $190.90 / $190.90	Professional		$186.43	$190.90	$190.90
United Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $95.24 / $190.90	Professional		$86.08	$95.24	$190.90