Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.65 / $88.65 / $88.65	Facility		$88.65	$88.65	$88.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $111.48 / $151.16	Professional		$88.65	$111.48	$151.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $241.22	Facility		$138.76	$138.76	$241.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $211.22	Professional		$101.29	$101.29	$211.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.37 / $221.92 / $316.00	Professional		$220.37	$221.92	$316.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.60 / $241.22 / $241.22	Professional		$229.60	$241.22	$241.22
United Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $296.08 / $355.31	Facility		$251.68	$296.08	$355.31
United Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $124.53 / $221.45	Professional		$110.79	$124.53	$221.45