Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $71.48 / $71.48	Facility		$71.48	$71.48	$71.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $95.61 / $126.11	Professional		$71.48	$95.61	$126.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.31 / $139.66 / $209.97	Facility		$116.31	$139.66	$209.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $183.86	Professional		$101.95	$101.95	$183.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $191.83 / $193.17 / $275.06	Professional		$191.83	$193.17	$275.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.85 / $209.97 / $209.97	Professional		$199.85	$209.97	$209.97
United Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $104.75 / $209.97	Professional		$94.68	$104.75	$209.97