Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.24 / $162.24 / $162.24	Facility		$162.24	$162.24	$162.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $160.31 / $184.78	Professional		$131.24	$160.31	$184.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $335.36	Facility		$192.25	$192.25	$335.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $293.64	Professional		$140.34	$140.34	$293.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.37 / $308.52 / $439.32	Professional		$306.37	$308.52	$439.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $335.36 / $335.36	Professional		$327.50	$335.36	$335.36
United Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $167.30 / $335.36	Professional		$151.21	$167.30	$335.36