Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.52 / $174.52 / $174.52	Facility		$174.52	$174.52	$174.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $206.21 / $241.26	Professional		$174.52	$206.21	$241.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $512.63	Facility		$251.00	$251.00	$512.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $448.88	Professional		$183.23	$183.23	$448.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $468.34 / $471.62 / $671.55	Professional		$468.34	$471.62	$671.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.62 / $512.63 / $512.63	Professional		$500.62	$512.63	$512.63
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $181.96 / $255.75 / $512.63	Professional		$181.96	$255.75	$512.63