Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $83.43 / $83.43	Facility		$83.43	$83.43	$83.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $95.91 / $115.47	Professional		$83.43	$95.91	$115.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $245.07	Facility		$126.23	$126.23	$245.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $213.38	Professional		$92.15	$92.15	$213.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.89 / $225.46 / $321.04	Professional		$223.89	$225.46	$321.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.26 / $245.07 / $245.07	Professional		$233.26	$245.07	$245.07
United Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $122.26 / $224.98	Professional		$90.88	$122.26	$224.98