Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $69.76 / $448.50	Facility		$69.76	$69.76	$448.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $89.18 / $123.90	Professional		$69.76	$89.18	$123.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $234.40 / $234.40	Professional		$176.00	$234.40	$234.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $204.94	Facility		$140.54	$140.54	$204.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $218.15	Professional		$102.59	$102.59	$218.15
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 / $103.36 / $204.94	Professional		$84.96	$103.36	$204.94