Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.85 / $265.02 / $991.81	Facility		$92.85	$265.02	$991.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $97.30 / $127.73	Professional		$85.20	$97.30	$127.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.90 / $641.90 / $641.90	Facility		$641.90	$641.90	$641.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $126.82 / $226.08	Professional		$85.78	$126.82	$226.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $146.63 / $146.63	Professional		$126.14	$146.63	$146.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $118.92 / $174.83	Professional		$88.08	$118.92	$174.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $115.86 / $201.62	Professional		$75.20	$115.86	$201.62