Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.27 / $147.27 / $147.27	Facility		$147.27	$147.27	$147.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $147.27 / $200.03	Professional		$114.86	$147.27	$200.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.44 / $243.13 / $470.79	Facility		$202.44	$243.13	$470.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $209.00 / $383.70	Professional		$111.16	$209.00	$383.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $198.58 / $256.95	Professional		$152.25	$198.58	$256.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $144.41 / $275.42	Facility		$120.38	$144.41	$275.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $145.69 / $237.08	Professional		$119.10	$145.69	$237.08
United Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $163.87 / $293.32	Professional		$102.13	$163.87	$293.32