Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.37 / $146.37 / $146.37	Facility		$146.37	$146.37	$146.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $187.10 / $243.38	Professional		$146.37	$187.10	$243.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $429.96	Facility		$253.20	$253.20	$429.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $376.49	Professional		$184.84	$184.84	$376.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $392.79 / $395.56 / $563.25	Professional		$392.79	$395.56	$563.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.88 / $429.96 / $429.96	Professional		$419.88	$429.96	$429.96
United Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $214.50 / $429.96	Professional		$183.55	$214.50	$429.96