Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $69.95 / $69.95	Facility		$69.95	$69.95	$69.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $90.08 / $121.88	Professional		$69.95	$90.08	$121.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $209.06 / $209.06 / $209.06	Professional		$209.06	$209.06	$209.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $197.31	Facility		$106.02	$127.07	$197.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $234.38	Professional		$92.76	$92.76	$234.38
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 $192.69 / $197.31 / $197.31	Professional		$192.69	$197.31	$197.31
United Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $98.44 / $181.16	Professional		$89.15	$98.44	$181.16