Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $616.60	Facility		$323.59	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $616.60	Professional		$275.42	$338.84	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $776.25	Professional		$295.12	$416.87	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $724.44	Professional		$371.54	$501.19	$724.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $660.69	Professional		$257.04	$380.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $602.56	Professional		$239.88	$338.84	$602.56