Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $102.78 / $102.78	Facility		$102.78	$102.78	$102.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $156.25 / $194.26	Professional		$102.78	$156.25	$194.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $174.77 / $279.69	Facility		$164.00	$174.77	$279.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $244.91	Professional		$127.58	$127.58	$244.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $257.31 / $366.39	Professional		$255.52	$257.31	$366.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $279.69 / $279.69	Professional		$273.14	$279.69	$279.69
United Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $141.06 / $279.69	Professional		$129.01	$141.06	$279.69