Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $66.11 / $66.11	Facility		$66.11	$66.11	$66.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $89.12 / $152.63	Professional		$66.11	$89.12	$152.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $186.43	Facility		$118.47	$120.81	$186.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $163.25	Professional		$88.19	$88.19	$163.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $171.52 / $244.22	Professional		$170.34	$171.52	$244.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $186.43 / $186.43	Professional		$182.06	$186.43	$186.43
United Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $93.01 / $186.43	Professional		$83.71	$93.01	$186.43