Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.69 / $217.69 / $217.69	Facility		$217.69	$217.69	$217.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $256.24 / $326.02	Professional		$217.69	$256.24	$326.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $639.45	Facility		$324.30	$324.30	$639.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $750.75	Professional		$236.74	$236.74	$750.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $584.20 / $588.29 / $837.68	Professional		$584.20	$588.29	$837.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.46 / $639.45 / $639.45	Professional		$624.46	$639.45	$639.45
United Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $319.02 / $639.45	Professional		$235.10	$319.02	$639.45