Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $88.80 / $88.80	Facility		$88.80	$88.80	$88.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $127.58 / $159.59	Professional		$88.80	$127.58	$159.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $190.78 / $260.83	Facility		$153.00	$190.78	$260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $228.40	Professional		$139.27	$139.27	$228.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $238.29 / $239.97 / $341.70	Professional		$238.29	$239.97	$341.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.27 / $260.83 / $260.83	Professional		$248.27	$260.83	$260.83
United Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $130.13 / $244.51	Professional		$117.61	$130.13	$244.51