Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Facility		$94.45	$94.45	$94.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $115.04 / $139.22	Professional		$94.45	$115.04	$139.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $277.45	Facility		$144.84	$144.84	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $269.63	Professional		$105.73	$105.73	$269.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.46 / $255.25 / $363.46	Professional		$253.46	$255.25	$363.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $277.45 / $277.45	Professional		$270.95	$277.45	$277.45
United Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $138.41 / $254.71	Professional		$104.52	$138.41	$254.71