Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $316.23	Professional		$131.83	$204.17	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Facility		$269.15	$269.15	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $446.68	Professional		$229.09	$269.15	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $371.54	Professional		$257.04	$363.08	$371.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $269.15	Professional		$257.04	$257.04	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $147.91 / $407.38	Facility		$19.50	$147.91	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $354.81	Professional		$151.36	$213.80	$354.81