Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.83 / $69.83 / $69.83	Facility		$69.83	$69.83	$69.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $84.86 / $123.53	Professional		$69.83	$84.86	$123.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $190.02	Facility		$67.73	$67.73	$190.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $166.39	Professional		$57.58	$57.58	$166.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $174.82 / $248.93	Professional		$173.59	$174.82	$248.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $126.40 / $126.40	Professional		$35.65	$126.40	$126.40
United Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $99.96 / $174.45	Professional		$85.68	$99.96	$174.45