Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.41 / $109.41 / $109.41	Facility		$109.41	$109.41	$109.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $132.96 / $193.58	Professional		$109.41	$132.96	$193.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $297.74	Facility		$170.29	$170.29	$297.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $260.70	Professional		$144.75	$144.75	$260.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $273.92 / $390.04	Professional		$272.00	$273.92	$390.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $137.75 / $198.05	Professional		$137.75	$137.75	$198.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.24 / $159.15 / $297.74	Professional		$134.24	$159.15	$297.74