Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.77 / $137.77 / $137.77	Facility		$137.77	$137.77	$137.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $134.52 / $137.77	Professional		$111.83	$134.52	$137.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $162.08 / $207.03	Professional		$152.90	$162.08	$207.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $162.08 / $162.08	Professional		$154.76	$162.08	$162.08
United Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $162.08 / $171.80	Professional		$161.97	$162.08	$171.80