Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.85 / $149.85 / $149.85	Facility		$149.85	$149.85	$149.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $151.71 / $197.42	Professional		$133.90	$151.71	$197.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $197.02 / $407.76	Facility		$196.85	$197.02	$407.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $143.82 / $357.05	Professional		$143.82	$143.82	$357.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $372.52 / $375.14 / $534.16	Professional		$372.52	$375.14	$534.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.11 / $407.76 / $407.76	Professional		$388.11	$407.76	$407.76
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $203.43 / $407.76	Professional		$175.76	$203.43	$407.76