Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $144.78 / $183.06	Professional		$113.25	$144.78	$183.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $332.68	Facility		$227.96	$227.96	$332.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $291.31	Professional		$166.41	$166.41	$291.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $303.93 / $306.07 / $435.81	Professional		$303.93	$306.07	$435.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $332.68 / $332.68	Professional		$316.64	$332.68	$332.68
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $165.97 / $332.68	Professional		$137.91	$165.97	$332.68