Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.51 / $102.51 / $102.51	Facility		$102.51	$102.51	$102.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $117.84 / $135.63	Professional		$92.94	$117.84	$135.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $301.11	Facility		$141.12	$141.12	$301.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $261.75	Professional		$103.02	$103.02	$261.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.08 / $277.02 / $394.45	Professional		$275.08	$277.02	$394.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.67 / $301.11 / $301.11	Professional		$263.67	$301.11	$301.11
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $150.22 / $276.44	Professional		$105.66	$150.22	$276.44