Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.09 / $296.27 / $473.81	Facility		$249.09	$296.27	$473.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $289.30 / $296.27	Professional		$92.25	$289.30	$296.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.78 / $128.69 / $144.66	Facility		$111.78	$128.69	$144.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $296.27 / $296.27	Professional		$296.27	$296.27	$296.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.02 / $657.02 / $657.02	Professional		$657.02	$657.02	$657.02
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $296.24	Professional		$259.31	$259.31	$296.24