Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $416.87	Professional		$181.97	$295.12	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $616.60	Professional		$288.40	$338.84	$616.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $354.81	Professional		$229.09	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $131.83 / $239.88	Facility		$21.88	$131.83	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $398.11	Professional		$177.83	$234.42	$398.11