Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.11 / $75.11 / $75.11	Facility		$75.11	$75.11	$75.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $86.34 / $109.08	Professional		$75.11	$86.34	$109.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $220.63	Facility		$110.16	$110.16	$220.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $193.19	Professional		$80.42	$80.42	$193.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.56 / $202.98 / $289.02	Professional		$201.56	$202.98	$289.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $220.63 / $220.63	Professional		$215.46	$220.63	$220.63
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $110.07 / $202.55	Professional		$79.86	$110.07	$202.55