Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $89.24 / $141.61	Professional		$73.43	$89.24	$141.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.62 / $172.35 / $199.83	Facility		$113.62	$172.35	$199.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $177.52	Professional		$125.82	$125.82	$177.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $182.56 / $183.84 / $261.77	Professional		$182.56	$183.84	$261.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $199.83 / $199.83	Professional		$195.15	$199.83	$199.83
United Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $150.16 / $199.83	Facility		$131.74	$150.16	$199.83
United Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $107.88 / $199.83	Professional		$90.10	$107.88	$199.83