Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $70.54 / $70.54	Facility		$70.54	$70.54	$70.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $90.17 / $112.69	Professional		$70.54	$90.17	$112.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $207.20	Facility		$147.05	$147.05	$207.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $241.88	Professional		$107.35	$107.35	$241.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $190.62 / $271.43	Professional		$189.29	$190.62	$271.43
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.34 / $207.20 / $207.20	Professional		$202.34	$207.20	$207.20
United Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $103.37 / $207.20	Professional		$84.99	$103.37	$207.20