Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.69 / $262.69 / $262.69	Facility		$262.69	$262.69	$262.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.69 / $358.12 / $463.46	Professional		$262.69	$358.12	$463.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $499.17 / $771.65	Facility		$456.73	$499.17	$771.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $675.69	Professional		$364.39	$364.39	$675.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $704.96 / $709.92 / $1,010.86	Professional		$704.96	$709.92	$1,010.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.57 / $771.65 / $771.65	Professional		$753.57	$771.65	$771.65
United Facility/Professional Professional Modifier Low / Median / High Price $347.94 / $384.97 / $771.65	Professional		$347.94	$384.97	$771.65