Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $102.53 / $102.53	Facility		$102.53	$102.53	$102.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $137.13 / $180.89	Professional		$102.53	$137.13	$180.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.49 / $188.19 / $301.17	Facility		$171.49	$188.19	$301.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $263.72	Professional		$137.38	$137.38	$263.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.14 / $277.08 / $394.53	Professional		$275.14	$277.08	$394.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $301.17 / $301.17	Professional		$286.66	$301.17	$301.17
United Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $150.25 / $276.50	Professional		$135.66	$150.25	$276.50