Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $372.26 / $381.23	Professional		$358.80	$372.26	$381.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.64 / $80.75 / $381.23	Facility		$68.64	$80.75	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.75 / $80.75	Professional		$80.75	$80.75	$80.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Professional		$49.68	$49.68	$49.68
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $445.54	Professional		$390.00	$390.00	$445.54