Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $371.54	Professional		$131.83	$162.18	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $416.87	Facility		$194.98	$194.98	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $194.98	Professional		$144.54	$144.54	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $602.56	Professional		$269.15	$436.52	$602.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $257.04 / $416.87	Facility		$114.82	$257.04	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $309.03	Professional		$151.36	$199.53	$309.03