Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $67.69 / $85.60	Professional		$52.95	$67.69	$85.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $155.55	Facility		$88.96	$88.96	$155.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $149.31	Professional		$64.94	$64.94	$149.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $143.11 / $203.77	Professional		$142.11	$143.11	$203.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $155.55 / $155.55	Professional		$151.90	$155.55	$155.55
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $77.59 / $142.80	Professional		$64.48	$77.59	$142.80