Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.65 / $165.65 / $165.65	Facility		$165.65	$165.65	$165.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $216.88 / $293.67	Professional		$165.65	$216.88	$293.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.88 / $297.62 / $486.55	Facility		$278.88	$297.62	$486.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $426.04	Professional		$217.26	$217.26	$426.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $444.52 / $447.63 / $637.38	Professional		$444.52	$447.63	$637.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.11 / $486.55 / $486.55	Professional		$463.11	$486.55	$486.55
United Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $242.74 / $486.55	Professional		$214.76	$242.74	$486.55