Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $80.80 / $80.80	Facility		$80.80	$80.80	$80.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $92.89 / $118.92	Professional		$80.80	$92.89	$118.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $237.35	Facility		$124.31	$124.31	$237.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $222.75	Professional		$90.75	$90.75	$222.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.84 / $218.36 / $310.93	Professional		$216.84	$218.36	$310.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.79 / $237.35 / $237.35	Professional		$231.79	$237.35	$237.35
United Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $118.42 / $237.35	Professional		$87.05	$118.42	$237.35