Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.88 / $121.88 / $121.88	Facility		$121.88	$121.88	$121.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $163.02 / $215.03	Professional		$121.88	$163.02	$215.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.04 / $227.07 / $358.03	Facility		$212.04	$227.07	$358.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $313.50	Professional		$165.76	$165.76	$313.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $327.08 / $329.39 / $469.02	Professional		$327.08	$329.39	$469.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.64 / $358.03 / $358.03	Professional		$349.64	$358.03	$358.03
United Facility/Professional Professional Modifier Low / Median / High Price $160.76 / $178.62 / $358.03	Professional		$160.76	$178.62	$358.03