Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $78.77 / $78.77	Facility		$78.77	$78.77	$78.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $117.83 / $143.16	Professional		$78.77	$117.83	$143.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.56 / $166.23 / $231.38	Facility		$150.56	$166.23	$231.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $202.60	Professional		$121.35	$121.35	$202.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.38 / $212.87 / $303.11	Professional		$211.38	$212.87	$303.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.60 / $220.23 / $231.38	Professional		$202.60	$220.23	$231.38
United Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $123.68 / $231.38	Professional		$104.33	$123.68	$231.38