Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $108.69 / $108.69	Facility		$108.69	$108.69	$108.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $138.09 / $169.30	Professional		$108.69	$138.09	$169.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.44 / $170.96 / $319.27	Facility		$166.44	$170.96	$319.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $329.25	Professional		$124.80	$124.80	$329.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.67 / $293.74 / $418.26	Professional		$291.67	$293.74	$418.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $319.27 / $319.27	Professional		$303.89	$319.27	$319.27
United Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $159.29 / $319.27	Professional		$123.94	$159.29	$319.27