Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $63.47 / $63.47	Facility		$63.47	$63.47	$63.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $89.47 / $117.12	Professional		$63.47	$89.47	$117.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $186.44	Facility		$116.51	$116.51	$186.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $163.26	Professional		$85.05	$85.05	$163.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $171.52 / $244.24	Professional		$170.34	$171.52	$244.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.07 / $186.44 / $186.44	Professional		$182.07	$186.44	$186.44
United Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $92.18 / $186.44	Facility		$70.23	$92.18	$186.44
United Facility/Professional Professional Modifier Low / Median / High Price $83.99 / $98.03 / $171.16	Professional		$83.99	$98.03	$171.16