Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $158.49	Professional		$75.86	$93.33	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $213.80	Facility		$109.65	$112.20	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $112.20	Professional		$83.18	$83.18	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $309.03	Professional		$138.04	$223.87	$309.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $213.80	Facility		$75.86	$131.83	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $162.18	Professional		$87.10	$109.65	$162.18