Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $111.47 / $194.88	Professional		$89.79	$111.47	$194.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $126.46	Facility		$123.98	$123.98	$126.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $123.98 / $251.25	Professional		$105.38	$123.98	$251.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $187.52 / $267.79	Professional		$187.52	$187.52	$267.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $147.19 / $147.19	Professional		$147.19	$147.19	$147.19
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $115.44 / $212.25	Professional		$103.90	$115.44	$212.25