Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $316.23	Facility		$204.17	$218.78	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $575.44	Professional		$181.97	$229.09	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $537.03	Professional		$194.98	$309.03	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $389.05	Professional		$204.17	$275.42	$389.05
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $616.60	Professional		$239.88	$288.40	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $426.58	Professional		$162.18	$245.47	$426.58