Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.35 / $135.35 / $135.35	Facility		$135.35	$135.35	$135.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.35 / $171.76 / $289.75	Professional		$135.35	$171.76	$289.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $368.30	Facility		$302.83	$302.83	$368.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $322.50	Professional		$257.41	$257.41	$322.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $336.48 / $338.84 / $482.47	Professional		$336.48	$338.84	$482.47
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.39 / $170.39 / $244.99	Professional		$170.39	$170.39	$244.99
United Facility/Professional Facility Modifier Low / Median / High Price $224.66 / $256.10 / $368.30	Facility		$224.66	$256.10	$368.30
United Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $183.74 / $338.13	Professional		$166.07	$183.74	$338.13