Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.65 / $142.65 / $142.65	Facility		$142.65	$142.65	$142.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $173.56 / $272.94	Professional		$142.65	$173.56	$272.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $388.19	Facility		$277.45	$277.45	$388.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $339.91	Professional		$202.54	$202.54	$339.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.64 / $357.13 / $508.53	Professional		$354.64	$357.13	$508.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $258.22 / $258.22	Professional		$258.22	$258.22	$258.22
United Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $217.61 / $388.19	Professional		$175.24	$217.61	$388.19