Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $239.88	Professional		$102.33	$144.54	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $263.03	Facility		$151.36	$190.55	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $389.05	Professional		$173.78	$281.84	$389.05
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $302.00	Facility		$97.72	$151.36	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $218.78	Professional		$117.49	$131.83	$218.78