Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.31 / $110.31 / $110.31	Facility		$110.31	$110.31	$110.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $117.48 / $144.47	Professional		$104.42	$117.48	$144.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.40 / $194.51 / $300.18	Facility		$156.40	$194.51	$300.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $262.85	Professional		$141.99	$141.99	$262.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.24 / $276.17 / $393.24	Professional		$274.24	$276.17	$393.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.85 / $262.85 / $300.18	Professional		$262.85	$262.85	$300.18
United Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $149.76 / $300.18	Professional		$118.98	$149.76	$300.18