Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.40 / $72.40 / $72.40	Facility		$72.40	$72.40	$72.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $94.35 / $133.61	Professional		$72.40	$94.35	$133.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.48 / $150.11 / $212.68	Facility		$124.48	$150.11	$212.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $186.23	Professional		$109.58	$109.58	$186.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $195.67 / $278.61	Professional		$194.30	$195.67	$278.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.70 / $212.68 / $212.68	Professional		$207.70	$212.68	$212.68
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $106.10 / $195.26	Professional		$95.90	$106.10	$195.26