Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $151.36	Professional		$64.57	$81.28	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $173.78	Facility		$104.71	$104.71	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $104.71	Professional		$75.86	$75.86	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $251.19	Professional		$112.20	$181.97	$251.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $169.82 / $208.93	Facility		$57.54	$169.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $138.04	Professional		$75.86	$83.18	$138.04