Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.88 / $127.88 / $127.88	Facility		$127.88	$127.88	$127.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $143.41 / $204.47	Professional		$122.03	$143.41	$204.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.94 / $225.10 / $347.98	Facility		$199.94	$225.10	$347.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $304.70	Professional		$164.32	$164.32	$304.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.91 / $320.14 / $455.85	Professional		$317.91	$320.14	$455.85
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.83 / $347.98 / $347.98	Professional		$339.83	$347.98	$347.98
United Facility/Professional Facility Modifier Low / Median / High Price $172.06 / $196.14 / $196.18	Facility		$172.06	$196.14	$196.18
United Facility/Professional Professional Modifier Low / Median / High Price $149.99 / $173.61 / $319.45	Professional		$149.99	$173.61	$319.45