Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $138.31 / $138.31	Facility		$138.31	$138.31	$138.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $147.57 / $199.29	Professional		$138.31	$147.57	$199.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $265.56 / $376.35	Facility		$204.90	$265.56	$376.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $193.86 / $329.55	Professional		$193.86	$193.86	$329.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $343.84 / $346.24 / $493.02	Professional		$343.84	$346.24	$493.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.53 / $376.35 / $376.35	Professional		$367.53	$376.35	$376.35
United Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $187.76 / $376.35	Professional		$168.98	$187.76	$376.35