Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $83.66 / $83.66	Facility		$83.66	$83.66	$83.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $102.01 / $124.82	Professional		$83.66	$102.01	$124.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $227.66	Facility		$122.31	$122.31	$227.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $199.35	Professional		$89.29	$89.29	$199.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.98 / $209.45 / $298.23	Professional		$207.98	$209.45	$298.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $227.66 / $227.66	Professional		$222.32	$227.66	$227.66
United Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $121.70 / $227.66	Professional		$102.65	$121.70	$227.66