Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $57.77 / $57.77	Facility		$57.77	$57.77	$57.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $62.89 / $88.76	Professional		$56.32	$62.89	$88.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.79 / $99.25 / $157.19	Facility		$90.79	$99.25	$157.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $166.88	Professional		$72.45	$72.45	$166.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $144.62 / $205.93	Professional		$143.61	$144.62	$205.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.65 / $157.19 / $157.19	Professional		$137.65	$157.19	$157.19
United Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $94.08 / $94.11	Facility		$82.54	$94.08	$94.11
United Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $78.43 / $157.19	Professional		$70.58	$78.43	$157.19