Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.59 / $127.59 / $127.59	Facility		$127.59	$127.59	$127.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $146.66 / $181.48	Professional		$126.63	$146.66	$181.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.99 / $218.57 / $374.77	Facility		$192.99	$218.57	$374.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $328.17	Professional		$159.56	$159.56	$328.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $342.40 / $344.79 / $490.95	Professional		$342.40	$344.79	$490.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.72 / $374.77 / $374.77	Professional		$356.72	$374.77	$374.77
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $186.98 / $344.07	Professional		$136.47	$186.98	$344.07