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 $100.00 / $144.54 / $234.42	Professional		$100.00	$144.54	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $158.49 / $263.03	Facility		$151.36	$158.49	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $158.49	Professional		$117.49	$117.49	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $380.19	Professional		$169.82	$275.42	$380.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $169.82 / $295.12	Facility		$95.50	$169.82	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $213.80	Professional		$114.82	$131.83	$213.80