Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.74 / $133.74 / $133.74	Facility		$133.74	$133.74	$133.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $172.70 / $290.50	Professional		$133.74	$172.70	$290.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.56 / $292.48 / $363.92	Facility		$211.56	$292.48	$363.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $318.66	Professional		$213.51	$213.51	$318.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $332.48 / $334.81 / $476.74	Professional		$332.48	$334.81	$476.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.39 / $363.92 / $363.92	Professional		$355.39	$363.92	$363.92
United Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $192.93 / $363.92	Professional		$167.87	$192.93	$363.92