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 $89.13 / $107.00 / $151.43	Professional		$89.13	$107.00	$151.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $166.47 / $242.54	Facility		$152.47	$166.47	$242.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $212.38	Professional		$121.52	$121.52	$212.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $223.14 / $317.73	Professional		$221.58	$223.14	$317.73
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.86 / $242.54 / $242.54	Professional		$230.86	$242.54	$242.54
United Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $122.32 / $242.54	Professional		$108.90	$122.32	$242.54