Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $173.78	Professional		$74.13	$95.50	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $120.23 / $194.98	Facility		$112.20	$120.23	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $281.84	Professional		$125.89	$204.17	$281.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $125.89 / $218.78	Facility		$72.44	$125.89	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $158.49	Professional		$85.11	$95.50	$158.49