Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Facility		$145.07	$145.07	$145.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $145.07 / $247.43	Professional		$126.55	$145.07	$247.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $379.69	Professional		$152.03	$152.03	$379.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.38 / $363.38 / $363.38	Professional		$363.38	$363.38	$363.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.84 / $181.84 / $181.84	Professional		$181.84	$181.84	$181.84
United Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $131.41 / $255.39	Professional		$113.65	$131.41	$255.39