Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.66 / $115.66 / $115.66	Facility		$115.66	$115.66	$115.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $132.96 / $167.55	Professional		$114.81	$132.96	$167.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.88 / $174.32 / $339.74	Facility		$166.88	$174.32	$339.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $297.49	Professional		$127.25	$127.25	$297.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $310.39 / $312.56 / $445.06	Professional		$310.39	$312.56	$445.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.78 / $339.74 / $339.74	Professional		$331.78	$339.74	$339.74
United Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $169.49 / $339.74	Professional		$125.79	$169.49	$339.74