Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $200.62 / $200.62	Facility		$200.62	$200.62	$200.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $264.89 / $399.40	Professional		$200.62	$264.89	$399.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $276.61 / $613.97	Professional		$276.61	$276.61	$613.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $538.38 / $542.16 / $772.00	Professional		$538.38	$542.16	$772.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.91 / $589.30 / $589.30	Professional		$560.91	$589.30	$589.30
United Facility/Professional Professional Modifier Low / Median / High Price $262.06 / $294.01 / $589.30	Professional		$262.06	$294.01	$589.30