Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.90 / $83.90 / $83.90	Facility		$83.90	$83.90	$83.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $99.94 / $142.72	Professional		$83.90	$99.94	$142.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.73 / $169.96 / $228.28	Facility		$127.73	$169.96	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $285.38	Professional		$124.07	$124.07	$285.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.56 / $210.02 / $299.05	Professional		$208.56	$210.02	$299.05
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.28 / $228.28 / $228.28	Professional		$217.28	$228.28	$228.28
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $118.48 / $228.28	Professional		$102.94	$118.48	$228.28