Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.58 / $118.58 / $118.58	Facility		$118.58	$118.58	$118.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $108.70 / $140.41	Professional		$93.30	$108.70	$140.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.76 / $108.76 / $119.96	Facility		$108.76	$108.76	$119.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $152.00 / $258.62	Professional		$92.59	$152.00	$258.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $155.38 / $203.07	Professional		$120.86	$155.38	$203.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $123.85 / $193.93	Professional		$105.27	$123.85	$193.93
United Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $126.38 / $236.98	Professional		$77.25	$126.38	$236.98