Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.56 / $164.56 / $164.56	Facility		$164.56	$164.56	$164.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $211.21 / $265.99	Professional		$164.56	$211.21	$265.99
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $414.00 / $414.00	Professional		$414.00	$414.00	$414.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $483.41	Facility		$312.81	$312.81	$483.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $228.35 / $423.29	Professional		$228.35	$228.35	$423.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $441.62 / $444.74 / $633.27	Professional		$441.62	$444.74	$633.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.08 / $483.41 / $483.41	Professional		$472.08	$483.41	$483.41
United Facility/Professional Professional Modifier Low / Median / High Price $200.46 / $241.17 / $443.79	Professional		$200.46	$241.17	$443.79