Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.50 / $394.81 / $486.17	Facility		$165.50	$394.81	$486.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $221.37 / $405.05	Professional		$165.50	$221.37	$405.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $486.17	Facility		$278.04	$278.04	$486.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $278.04 / $425.71	Professional		$202.97	$278.04	$425.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $444.14 / $447.28 / $636.88	Professional		$444.14	$447.28	$636.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.66 / $486.17 / $486.17	Professional		$444.66	$486.17	$486.17
United Facility/Professional Facility Modifier Low / Median / High Price $167.61 / $220.01 / $486.17	Facility		$167.61	$220.01	$486.17
United Facility/Professional Professional Modifier Low / Median / High Price $201.56 / $242.54 / $486.17	Professional		$201.56	$242.54	$486.17