Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $81.06 / $81.06	Facility		$81.06	$81.06	$81.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $102.03 / $145.94	Professional		$81.06	$102.03	$145.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.90 / $175.58 / $220.58	Facility		$137.90	$175.58	$220.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $193.15	Professional		$128.16	$128.16	$193.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.51 / $202.93 / $288.95	Professional		$201.51	$202.93	$288.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.95 / $220.58 / $220.58	Professional		$209.95	$220.58	$220.58
United Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $115.14 / $220.58	Professional		$99.46	$115.14	$220.58