Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $111.52 / $213.39	Professional		$79.43	$111.52	$213.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $196.12 / $196.12 / $196.12	Professional		$196.12	$196.12	$196.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $233.30	Facility		$152.55	$152.55	$233.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $204.29	Professional		$111.36	$111.36	$204.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.15 / $214.64 / $305.62	Professional		$213.15	$214.64	$305.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.83 / $233.30 / $233.30	Professional		$227.83	$233.30	$233.30
United Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $116.39 / $233.30	Professional		$96.73	$116.39	$233.30