Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $69.76 / $69.76	Facility		$69.76	$69.76	$69.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $89.18 / $112.74	Professional		$69.76	$89.18	$112.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $204.94	Facility		$149.11	$149.11	$204.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $179.46	Professional		$108.85	$108.85	$179.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.22 / $188.54 / $268.47	Professional		$187.22	$188.54	$268.47
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.14 / $204.94 / $204.94	Professional		$200.14	$204.94	$204.94
United Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $103.88 / $204.94	Professional		$84.96	$103.88	$204.94