Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $59.06 / $59.06	Facility		$59.06	$59.06	$59.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $59.06 / $93.19	Professional		$44.19	$59.06	$93.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.97 / $194.97 / $234.15	Facility		$194.97	$194.97	$234.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.55 / $323.55	Professional		$134.90	$323.55	$323.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $67.09	Professional		$67.09	$67.09	$67.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.09 / $223.16 / $453.25	Facility		$180.09	$223.16	$453.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $52.20 / $86.01	Professional		$41.23	$52.20	$86.01
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $55.43 / $105.81	Professional		$36.86	$55.43	$105.81