Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $218.78	Professional		$95.50	$128.82	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $251.19	Facility		$158.49	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $158.49	Professional		$117.49	$117.49	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $363.08	Professional		$162.18	$263.03	$363.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $331.13	Facility		$162.18	$245.47	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $204.17	Professional		$109.65	$128.82	$204.17