Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.34 / $208.34 / $208.34	Facility		$208.34	$208.34	$208.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.34 / $263.88 / $344.34	Professional		$208.34	$263.88	$344.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.67 / $419.04 / $611.97	Facility		$341.67	$419.04	$611.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $305.89 / $535.87	Professional		$305.89	$305.89	$535.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $559.08 / $563.01 / $801.68	Professional		$559.08	$563.01	$801.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.63 / $611.97 / $611.97	Professional		$597.63	$611.97	$611.97
United Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $305.31 / $611.97	Professional		$252.80	$305.31	$611.97