Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $293.16 / $639.63	Facility		$47.29	$293.16	$639.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $57.46 / $83.65	Professional		$47.29	$57.46	$83.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $128.66	Facility		$104.66	$104.66	$128.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $112.67	Professional		$88.96	$88.96	$112.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $118.38 / $154.40	Professional		$110.00	$118.38	$154.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $59.53 / $85.59	Professional		$59.53	$59.53	$85.59
United Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $64.19 / $128.66	Professional		$58.03	$64.19	$128.66