Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.68 / $98.68 / $491.56	Facility		$98.68	$98.68	$491.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $126.14 / $175.27	Professional		$98.68	$126.14	$175.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $289.86	Facility		$176.58	$176.58	$289.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $176.58 / $253.82	Professional		$128.90	$176.58	$253.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.81 / $266.67 / $379.72	Professional		$264.81	$266.67	$379.72
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $289.86 / $289.86	Professional		$275.89	$289.86	$289.86
United Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $144.61 / $289.86	Professional		$120.18	$144.61	$289.86