Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.14 / $123.14 / $612.48	Facility		$123.14	$123.14	$612.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $128.47 / $150.72	Professional		$109.43	$128.47	$150.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.78 / $97.39 / $113.24	Facility		$82.78	$97.39	$113.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $191.81 / $323.41	Professional		$104.73	$191.81	$323.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $181.58 / $257.62	Professional		$108.23	$181.58	$257.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $36.89 / $149.94	Professional		$30.62	$36.89	$149.94
United Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $146.49 / $234.58	Professional		$62.72	$146.49	$234.58