Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $676.08	Facility		$154.88	$275.42	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $245.47	Professional		$61.66	$93.33	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $162.18	Facility		$79.43	$85.11	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $229.09	Professional		$97.72	$138.04	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $131.83 / $218.78	Professional		$38.02	$131.83	$218.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $218.78	Professional		$75.86	$104.71	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $123.03	Facility		$100.00	$112.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $165.96	Professional		$67.61	$95.50	$165.96