Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $86.29 / $86.29	Facility		$86.29	$86.29	$86.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $110.30 / $139.49	Professional		$86.29	$110.30	$139.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $253.46	Facility		$168.00	$168.00	$253.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $301.13	Professional		$122.64	$122.64	$301.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.56 / $233.18 / $332.03	Professional		$231.56	$233.18	$332.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $253.46 / $253.46	Professional		$247.52	$253.46	$253.46
United Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $126.45 / $253.46	Professional		$105.09	$126.45	$253.46