Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $123.25 / $123.25	Facility		$123.25	$123.25	$123.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $144.28 / $191.77	Professional		$123.25	$144.28	$191.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.79 / $225.68 / $335.38	Facility		$187.79	$225.68	$335.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $164.75 / $293.67	Professional		$164.75	$164.75	$293.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $308.55 / $439.35	Professional		$306.39	$308.55	$439.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $155.16 / $223.09	Professional		$155.16	$155.16	$223.09
United Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $167.32 / $307.89	Professional		$151.22	$167.32	$307.89