Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $77.30 / $77.30	Facility		$77.30	$77.30	$77.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $82.31 / $115.45	Professional		$77.30	$82.31	$115.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $113.00 / $210.32	Facility		$108.90	$113.00	$210.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $184.17	Professional		$82.49	$82.49	$184.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $193.49 / $275.52	Professional		$192.15	$193.49	$275.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $210.32 / $210.32	Professional		$205.39	$210.32	$210.32
United Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $108.19 / $210.32	Professional		$87.61	$108.19	$210.32