Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $57.39 / $57.39	Facility		$57.39	$57.39	$57.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $73.36 / $101.92	Professional		$57.39	$73.36	$101.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $168.56	Facility		$104.24	$104.24	$168.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $147.60	Professional		$76.09	$76.09	$147.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $155.08 / $220.81	Professional		$154.01	$155.08	$220.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.61 / $168.56 / $168.56	Professional		$164.61	$168.56	$168.56
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $84.10 / $154.75	Professional		$69.89	$84.10	$154.75