Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.82 / $123.82 / $123.82	Facility		$123.82	$123.82	$123.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $165.76 / $207.69	Professional		$123.82	$165.76	$207.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $203.51 / $336.96	Facility		$199.00	$203.51	$336.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $295.05	Professional		$148.56	$148.56	$295.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $310.00 / $441.42	Professional		$307.83	$310.00	$441.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.72 / $336.96 / $336.96	Professional		$320.72	$336.96	$336.96
United Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $185.18 / $336.96	Professional		$155.41	$185.18	$336.96