Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.13 / $87.13 / $87.13	Facility		$87.13	$87.13	$87.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $123.29 / $181.91	Professional		$87.13	$123.29	$181.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.86 / $159.91 / $255.93	Facility		$152.86	$159.91	$255.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $392.63	Professional		$116.74	$116.74	$392.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.81 / $235.46 / $335.27	Professional		$233.81	$235.46	$335.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.60 / $255.93 / $255.93	Professional		$243.60	$255.93	$255.93
United Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $127.68 / $255.93	Professional		$114.91	$127.68	$255.93