Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $96.71 / $96.71	Facility		$96.71	$96.71	$96.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $91.02 / $145.52	Professional		$81.91	$91.02	$145.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Facility		$123.50	$123.50	$123.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $179.25	Professional		$104.98	$123.50	$179.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $125.48 / $207.64	Professional		$125.48	$125.48	$207.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $108.98 / $108.98	Professional		$108.98	$108.98	$108.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $110.66 / $188.57	Professional		$81.73	$110.66	$188.57