Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $67.18 / $67.18	Facility		$67.18	$67.18	$67.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $85.87 / $112.67	Professional		$67.18	$85.87	$112.67
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $195.00	Professional		$195.00	$195.00	$195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $197.31	Facility		$112.67	$112.67	$197.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $172.78	Professional		$82.25	$82.25	$172.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $181.53 / $258.48	Professional		$180.27	$181.53	$258.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $197.31 / $197.31	Professional		$187.81	$197.31	$197.31
United Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $98.44 / $197.31	Professional		$81.68	$98.44	$197.31