Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.94 / $63.94 / $63.94	Facility		$63.94	$63.94	$63.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $73.50 / $103.37	Professional		$55.36	$73.50	$103.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.62 / $107.42 / $187.82	Facility		$88.62	$107.42	$187.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $164.46	Professional		$78.42	$78.42	$164.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.59 / $172.79 / $246.04	Professional		$171.59	$172.79	$246.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.42 / $187.82 / $187.82	Professional		$183.42	$187.82	$187.82
United Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $85.00 / $187.82	Facility		$70.50	$85.00	$187.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $93.70 / $172.43	Professional		$77.87	$93.70	$172.43