Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $43.33 / $43.33	Facility		$43.33	$43.33	$43.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $65.66 / $79.63	Professional		$43.33	$65.66	$79.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $104.21 / $127.29	Facility		$75.80	$104.21	$127.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $171.75	Professional		$76.06	$76.06	$171.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $117.11 / $166.75	Professional		$116.29	$117.11	$166.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $127.29 / $127.29	Professional		$124.31	$127.29	$127.29
United Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $65.48 / $127.29	Professional		$57.34	$65.48	$127.29