Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $64.34 / $64.34	Facility		$64.34	$64.34	$64.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $68.93 / $99.62	Professional		$64.34	$68.93	$99.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $97.54 / $175.10	Facility		$86.32	$97.54	$175.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $153.33	Professional		$71.20	$71.20	$153.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.99 / $161.09 / $229.38	Professional		$159.99	$161.09	$229.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $175.10 / $175.10	Professional		$171.00	$175.10	$175.10
United Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $90.88 / $175.10	Professional		$78.62	$90.88	$175.10