Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $80.02 / $80.02	Facility		$80.02	$80.02	$80.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $97.24 / $138.86	Professional		$80.02	$97.24	$138.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.53 / $140.85 / $217.74	Facility		$125.53	$140.85	$217.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $252.38	Professional		$102.82	$102.82	$252.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.93 / $200.32 / $285.24	Professional		$198.93	$200.32	$285.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $217.74 / $217.74	Professional		$212.64	$217.74	$217.74
United Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $108.63 / $199.89	Professional		$98.18	$108.63	$199.89