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 $69.18 / $87.10 / $151.36	Professional		$69.18	$87.10	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $213.80	Facility		$112.20	$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 $141.25 / $229.09 / $316.23	Professional		$141.25	$229.09	$316.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $213.80	Facility		$91.20	$131.83	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $162.18	Professional		$81.28	$107.15	$162.18