Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $68.67 / $68.67	Facility		$68.67	$68.67	$68.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $92.00 / $127.16	Professional		$68.67	$92.00	$127.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.42 / $136.19 / $201.70	Facility		$118.42	$136.19	$201.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $176.61	Professional		$99.43	$99.43	$176.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.26 / $185.56 / $264.23	Professional		$184.26	$185.56	$264.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $201.70 / $201.70	Professional		$196.97	$201.70	$201.70
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $100.63 / $201.70	Professional		$90.56	$100.63	$201.70