Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.79 / $200.79 / $200.79	Facility		$200.79	$200.79	$200.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $230.82 / $276.42	Professional		$199.69	$230.82	$276.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.81 / $345.03 / $589.82	Facility		$310.81	$345.03	$589.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $516.47	Professional		$251.87	$251.87	$516.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $538.84 / $542.63 / $772.66	Professional		$538.84	$542.63	$772.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $589.82 / $589.82	Professional		$576.00	$589.82	$589.82
United Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $294.26 / $589.82	Professional		$218.72	$294.26	$589.82