Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.34 / $142.34 / $142.34	Facility		$142.34	$142.34	$142.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $174.18 / $258.97	Professional		$142.34	$174.18	$258.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.93 / $305.27 / $387.35	Facility		$219.93	$305.27	$387.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $339.17	Professional		$222.85	$222.85	$339.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $353.87 / $356.36 / $507.43	Professional		$353.87	$356.36	$507.43
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.27 / $387.35 / $387.35	Professional		$378.27	$387.35	$387.35
United Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $207.05 / $387.35	Professional		$175.86	$207.05	$387.35