Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $46.42 / $46.42	Facility		$46.42	$46.42	$46.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $54.98 / $78.22	Professional		$46.42	$54.98	$78.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.53 / $89.19 / $126.34	Facility		$77.53	$89.19	$126.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $110.63	Professional		$65.11	$65.11	$110.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.41 / $116.23 / $165.51	Professional		$115.41	$116.23	$165.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $126.34 / $126.34	Professional		$123.38	$126.34	$126.34
United Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $69.65 / $126.34	Professional		$56.90	$69.65	$126.34