Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $86.99 / $1,178.29	Facility		$86.99	$86.99	$1,178.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $124.33 / $285.08	Professional		$86.99	$124.33	$285.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $143.87 / $206.38	Facility		$97.37	$143.87	$206.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $122.62 / $198.87	Professional		$68.70	$122.62	$198.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $159.83 / $225.99	Professional		$116.50	$159.83	$225.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $258.52 / $458.84	Facility		$80.09	$258.52	$458.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $94.29 / $213.50	Professional		$65.13	$94.29	$213.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.02 / $165.43 / $320.23	Professional		$88.02	$165.43	$320.23