Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.47 / $103.47 / $103.47	Facility		$103.47	$103.47	$103.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $135.46 / $184.64	Professional		$103.47	$135.46	$184.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.37 / $189.91 / $303.93	Facility		$173.37	$189.91	$303.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $266.13	Professional		$138.63	$138.63	$266.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.66 / $279.62 / $398.15	Professional		$277.66	$279.62	$398.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.27 / $303.93 / $303.93	Professional		$289.27	$303.93	$303.93
United Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $151.62 / $252.70	Professional		$137.04	$151.62	$252.70