Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.18 / $138.18 / $138.18	Facility		$138.18	$138.18	$138.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $179.42 / $237.10	Professional		$138.18	$179.42	$237.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.63 / $237.10 / $405.92	Facility		$220.63	$237.10	$405.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $389.65	Professional		$173.08	$173.08	$389.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $370.83 / $373.45 / $531.76	Professional		$370.83	$373.45	$531.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.41 / $405.92 / $405.92	Professional		$396.41	$405.92	$405.92
United Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $202.51 / $405.92	Professional		$171.09	$202.51	$405.92