Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $51.37 / $51.37	Facility		$51.37	$51.37	$51.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $68.70 / $95.13	Professional		$51.37	$68.70	$95.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $97.79 / $150.90	Facility		$89.70	$97.79	$150.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $132.13	Professional		$71.39	$71.39	$132.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $138.83 / $197.68	Professional		$137.86	$138.83	$197.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $150.90 / $150.90	Professional		$143.63	$150.90	$150.90
United Facility/Professional Facility Modifier Low / Median / High Price $56.84 / $74.61 / $150.90	Facility		$56.84	$74.61	$150.90
United Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $75.28 / $138.53	Professional		$68.04	$75.28	$138.53