Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.58 / $296.58 / $296.58	Facility		$296.58	$296.58	$296.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $342.82 / $408.94	Professional		$296.58	$342.82	$408.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $871.21	Facility		$408.60	$408.60	$871.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $762.86	Professional		$298.27	$298.27	$762.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $795.90 / $801.51 / $1,141.29	Professional		$795.90	$801.51	$1,141.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.79 / $871.21 / $871.21	Professional		$850.79	$871.21	$871.21
United Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $434.63 / $871.21	Professional		$305.69	$434.63	$871.21