Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $71.67	Facility		$71.67	$71.67	$71.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $93.02 / $122.80	Professional		$71.67	$93.02	$122.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $210.51	Facility		$125.61	$125.61	$210.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $153.22 / $210.22	Professional		$91.70	$153.22	$210.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.31 / $193.67 / $275.77	Professional		$192.31	$193.67	$275.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $210.51 / $210.51	Professional		$200.37	$210.51	$210.51
United Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $105.02 / $210.51	Professional		$93.52	$105.02	$210.51