Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.73 / $90.73 / $147.60	Facility		$90.73	$90.73	$147.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $126.01 / $168.02	Professional		$90.73	$126.01	$168.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $175.81 / $266.51	Facility		$156.80	$175.81	$266.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $255.83	Professional		$128.34	$128.34	$255.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $243.48 / $245.19 / $349.13	Professional		$243.48	$245.19	$349.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.26 / $266.51 / $266.51	Professional		$260.26	$266.51	$266.51
United Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $132.96 / $244.67	Professional		$120.17	$132.96	$244.67