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 / $92.77	Professional		$57.39	$73.36	$92.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $168.56	Facility		$116.46	$116.46	$168.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $147.60	Professional		$85.02	$85.02	$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 $160.44 / $168.56 / $168.56	Professional		$160.44	$168.56	$168.56
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $84.10 / $168.56	Professional		$69.89	$84.10	$168.56