Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $52.29 / $52.29	Facility		$52.29	$52.29	$52.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $66.84 / $92.90	Professional		$52.29	$66.84	$92.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $153.61	Facility		$88.85	$88.85	$153.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $134.51	Professional		$64.86	$64.86	$134.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $141.32 / $201.23	Professional		$140.32	$141.32	$201.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $153.61 / $153.61	Professional		$150.01	$153.61	$153.61
United Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $78.36 / $141.02	Professional		$68.97	$78.36	$141.02