Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.58 / $89.58 / $89.58	Facility		$89.58	$89.58	$89.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $117.67 / $160.49	Professional		$89.58	$117.67	$160.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $184.91 / $243.76	Facility		$140.44	$184.91	$243.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $213.44	Professional		$134.97	$134.97	$213.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.70 / $224.26 / $319.33	Professional		$222.70	$224.26	$319.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.05 / $243.76 / $243.76	Professional		$238.05	$243.76	$243.76
United Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $126.51 / $243.76	Professional		$112.44	$126.51	$243.76