Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $64.15 / $64.15	Facility		$64.15	$64.15	$64.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $82.01 / $103.70	Professional		$64.15	$82.01	$103.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $188.45	Facility		$107.78	$107.78	$188.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $165.01	Professional		$78.68	$78.68	$165.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.17 / $173.37 / $246.87	Professional		$172.17	$173.37	$246.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $125.35	Professional		$41.98	$41.98	$125.35
United Facility/Professional Facility Modifier Low / Median / High Price $64.97 / $85.28 / $188.45	Facility		$64.97	$85.28	$188.45
United Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $94.01 / $188.45	Professional		$78.14	$94.01	$188.45