Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $186.21	Professional		$77.62	$120.23	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $144.54 / $204.17	Facility		$131.83	$144.54	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $144.54	Professional		$104.71	$104.71	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $295.12	Professional		$131.83	$213.80	$295.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $229.09	Facility		$75.86	$131.83	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $169.82	Professional		$91.20	$102.33	$169.82