Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $107.94 / $107.94	Facility		$107.94	$107.94	$107.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $144.36 / $190.42	Professional		$107.94	$144.36	$190.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.60 / $205.09 / $317.05	Facility		$179.60	$205.09	$317.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $277.62	Professional		$149.72	$149.72	$277.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $291.69 / $415.34	Professional		$289.64	$291.69	$415.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.62 / $317.05 / $317.05	Professional		$309.62	$317.05	$317.05
United Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $158.16 / $291.07	Professional		$142.82	$158.16	$291.07