Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.29 / $143.29 / $143.29	Facility		$143.29	$143.29	$143.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $193.45 / $252.80	Professional		$143.29	$193.45	$252.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $420.91	Facility		$295.70	$295.70	$420.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $368.56	Professional		$215.87	$215.87	$368.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $387.24 / $551.39	Professional		$384.54	$387.24	$551.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.04 / $420.91 / $420.91	Professional		$411.04	$420.91	$420.91
United Facility/Professional Facility Modifier Low / Median / High Price $158.55 / $208.12 / $420.91	Facility		$158.55	$208.12	$420.91
United Facility/Professional Professional Modifier Low / Median / High Price $189.60 / $209.99 / $420.91	Professional		$189.60	$209.99	$420.91