Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $82.65 / $104.52	Professional		$64.66	$82.65	$104.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $189.93	Facility		$129.63	$129.63	$189.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $136.99	Professional		$94.64	$94.64	$136.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $174.74 / $248.81	Professional		$173.51	$174.74	$248.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $189.93 / $189.93	Professional		$180.78	$189.93	$189.93
United Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $94.75 / $157.91	Professional		$85.55	$94.75	$157.91