Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $132.99 / $454.83	Facility		$79.20	$132.99	$454.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $93.01 / $176.41	Professional		$79.22	$93.01	$176.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.41 / $207.34 / $277.55	Facility		$174.41	$207.34	$277.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $129.54 / $216.90	Professional		$79.36	$129.54	$216.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.97 / $137.81 / $236.08	Professional		$105.97	$137.81	$236.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $214.08 / $214.08	Facility		$193.71	$214.08	$214.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $105.37 / $167.57	Professional		$87.85	$105.37	$167.57
United Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $112.60 / $199.25	Professional		$73.22	$112.60	$199.25