Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $97.95 / $97.95	Facility		$97.95	$97.95	$97.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.95 / $131.01 / $206.06	Professional		$97.95	$131.01	$206.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.90 / $225.30 / $287.73	Facility		$168.90	$225.30	$287.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $251.95	Professional		$164.47	$164.47	$251.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.86 / $264.70 / $376.93	Professional		$262.86	$264.70	$376.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.98 / $287.73 / $287.73	Professional		$280.98	$287.73	$287.73
United Facility/Professional Facility Modifier Low / Median / High Price $326.08 / $383.64 / $460.37	Facility		$326.08	$383.64	$460.37
United Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $143.54 / $264.14	Professional		$129.19	$143.54	$264.14