Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.16 / $52.16 / $52.16	Facility		$52.16	$52.16	$52.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $66.67 / $84.31	Professional		$52.16	$66.67	$84.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $153.19	Facility		$99.06	$99.06	$153.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $134.15	Professional		$72.31	$72.31	$134.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $140.94 / $200.69	Professional		$139.97	$140.94	$200.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.61 / $153.19 / $153.19	Professional		$149.61	$153.19	$153.19
United Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $76.43 / $153.19	Professional		$63.53	$76.43	$153.19