Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $1,293.75 / $3,450.81	Facility		$94.86	$1,293.75	$3,450.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $116.84 / $167.98	Professional		$94.86	$116.84	$167.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $258.13	Facility		$195.78	$195.78	$258.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $287.25	Professional		$166.41	$166.41	$287.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $237.48 / $338.15	Professional		$235.83	$237.48	$338.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $119.41 / $171.70	Professional		$119.41	$119.41	$171.70
United Facility/Professional Professional Modifier Low / Median / High Price $117.97 / $137.97 / $258.13	Professional		$117.97	$137.97	$258.13