Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $95.06 / $95.06	Facility		$95.06	$95.06	$95.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $115.52 / $164.96	Professional		$95.06	$115.52	$164.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.44 / $161.63 / $258.68	Facility		$150.44	$161.63	$258.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $226.51	Professional		$117.99	$117.99	$226.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.31 / $237.99 / $338.87	Professional		$236.31	$237.99	$338.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.61 / $258.68 / $258.68	Professional		$252.61	$258.68	$258.68
United Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $194.40 / $194.44	Facility		$170.54	$194.40	$194.44
United Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $138.27 / $237.48	Professional		$116.64	$138.27	$237.48