Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $40.22 / $40.22	Facility		$40.22	$40.22	$40.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $51.41 / $65.02	Professional		$40.22	$51.41	$65.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $118.15	Facility		$81.30	$81.30	$118.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $103.46	Professional		$59.35	$59.35	$103.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $108.70 / $154.78	Professional		$107.94	$108.70	$154.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $112.46 / $118.15	Professional		$103.46	$112.46	$118.15
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.94 / $108.46	Professional		$48.98	$58.94	$108.46