Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $49.70 / $49.70	Facility		$49.70	$49.70	$49.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $61.34 / $70.58	Professional		$49.70	$61.34	$70.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $145.97	Facility		$73.43	$73.43	$145.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $127.82	Professional		$53.60	$53.60	$127.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $134.29 / $191.22	Professional		$133.37	$134.29	$191.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $138.94 / $145.97	Professional		$127.82	$138.94	$145.97
United Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $72.83 / $134.02	Professional		$54.15	$72.83	$134.02