Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $68.09 / $68.09	Facility		$68.09	$68.09	$68.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $97.71 / $125.66	Professional		$68.09	$97.71	$125.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.05 / $142.94 / $200.02	Facility		$131.05	$142.94	$200.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $175.15	Professional		$104.35	$104.35	$175.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $182.74 / $184.02 / $262.02	Professional		$182.74	$184.02	$262.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $200.02 / $200.02	Professional		$195.34	$200.02	$200.02
United Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $106.92 / $192.93	Professional		$90.19	$106.92	$192.93