Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $40.90 / $40.90	Facility		$40.90	$40.90	$40.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $61.51 / $72.18	Professional		$40.90	$61.51	$72.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $120.17	Facility		$75.09	$75.09	$120.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $105.23	Professional		$54.82	$54.82	$105.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $110.56 / $157.41	Professional		$109.78	$110.56	$157.41
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $120.17 / $120.17	Professional		$114.38	$120.17	$120.17
United Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $59.95 / $120.17	Professional		$53.96	$59.95	$120.17