Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.28 / $53.28 / $53.28	Facility		$53.28	$53.28	$53.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $64.75 / $92.46	Professional		$53.28	$64.75	$92.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $144.99	Facility		$126.00	$128.85	$144.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $132.72	Professional		$109.52	$109.52	$132.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $133.38 / $189.94	Professional		$132.46	$133.38	$189.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $67.06 / $96.45	Professional		$63.72	$67.06	$96.45
United Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $78.28 / $144.99	Professional		$65.38	$78.28	$144.99