Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $51.91 / $51.91	Facility		$51.91	$51.91	$51.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $69.12 / $98.53	Professional		$51.91	$69.12	$98.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $132.63 / $152.49	Facility		$90.76	$132.63	$152.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $136.62	Professional		$96.83	$96.83	$136.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $140.29 / $199.76	Professional		$139.31	$140.29	$199.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $152.49 / $152.49	Professional		$148.91	$152.49	$152.49
United Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $76.91 / $140.00	Professional		$68.63	$76.91	$140.00