Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.86 / $133.86 / $133.86	Facility		$133.86	$133.86	$133.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $153.88 / $203.26	Professional		$133.16	$153.88	$203.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.73 / $268.08 / $393.23	Facility		$191.73	$268.08	$393.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $344.32	Professional		$195.70	$195.70	$344.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $359.23 / $361.77 / $515.13	Professional		$359.23	$361.77	$515.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.01 / $393.23 / $393.23	Professional		$384.01	$393.23	$393.23
United Facility/Professional Professional Modifier Low / Median / High Price $146.57 / $196.18 / $302.89	Professional		$146.57	$196.18	$302.89