Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $380.19	Professional		$162.18	$204.17	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $426.58	Facility		$251.19	$251.19	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $616.60	Professional		$275.42	$446.68	$616.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $416.87 / $524.81	Facility		$144.54	$416.87	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $346.74	Professional		$190.55	$208.93	$346.74