Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $48.34 / $48.34	Facility		$48.34	$48.34	$48.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $68.31 / $88.28	Professional		$48.34	$68.31	$88.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $142.00	Facility		$102.60	$102.60	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $124.34	Professional		$74.90	$74.90	$124.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $130.63 / $186.02	Professional		$129.72	$130.63	$186.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $142.00 / $142.00	Professional		$138.66	$142.00	$142.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $70.84 / $119.36	Professional		$64.01	$70.84	$119.36