Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.08 / $99.08 / $99.08	Facility		$99.08	$99.08	$99.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $140.03 / $174.80	Professional		$99.08	$140.03	$174.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $291.04	Facility		$181.86	$181.86	$291.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $254.85	Professional		$132.76	$132.76	$254.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $267.76 / $381.26	Professional		$265.89	$267.76	$381.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.22 / $291.04 / $291.04	Professional		$284.22	$291.04	$291.04
United Facility/Professional Facility Modifier Low / Median / High Price $109.64 / $143.90 / $291.04	Facility		$109.64	$143.90	$291.04
United Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $145.19 / $291.04	Professional		$130.68	$145.19	$291.04