Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $137.68 / $137.68	Facility		$137.68	$137.68	$137.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.34 / $158.27 / $187.69	Professional		$132.34	$158.27	$187.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $404.43	Facility		$196.21	$196.21	$404.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $351.75	Professional		$143.22	$143.22	$351.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.48 / $372.08 / $529.79	Professional		$369.48	$372.08	$529.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.96 / $404.43 / $404.43	Professional		$394.96	$404.43	$404.43
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $201.77 / $311.52	Professional		$145.00	$201.77	$311.52