Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $146.75 / $185.57	Professional		$114.80	$146.75	$185.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $337.23	Facility		$192.91	$192.91	$337.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $295.29	Professional		$140.82	$140.82	$295.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.07 / $310.25 / $441.77	Professional		$308.07	$310.25	$441.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.33 / $337.23 / $337.23	Professional		$329.33	$337.23	$337.23
United Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $170.07 / $309.58	Professional		$139.85	$170.07	$309.58