Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.44 / $143.44 / $143.44	Facility		$143.44	$143.44	$143.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $179.33 / $247.42	Professional		$143.44	$179.33	$247.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.89 / $246.11 / $421.34	Facility		$228.89	$246.11	$421.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $368.93	Professional		$179.66	$179.66	$368.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $384.93 / $387.63 / $551.96	Professional		$384.93	$387.63	$551.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.46 / $421.34 / $421.34	Professional		$411.46	$421.34	$421.34
United Facility/Professional Professional Modifier Low / Median / High Price $178.41 / $210.20 / $421.34	Professional		$178.41	$210.20	$421.34