Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.25 / $89.25 / $89.25	Facility		$89.25	$89.25	$89.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $89.25 / $154.66	Professional		$74.65	$89.25	$154.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $120.30	Facility		$120.30	$120.30	$120.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $196.50	Professional		$102.26	$120.30	$196.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.65 / $152.65 / $189.24	Professional		$152.65	$152.65	$189.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $120.15 / $120.15	Professional		$120.15	$120.15	$120.15
United Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $105.83 / $155.80	Professional		$84.98	$105.83	$155.80