Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $405.14 / $848.16	Facility		$92.50	$405.14	$848.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $182.23 / $235.53	Professional		$147.83	$182.23	$235.53
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $569.60 / $569.60 / $569.60	Professional		$569.60	$569.60	$569.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $434.26	Facility		$233.36	$233.36	$434.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $248.77 / $369.07	Professional		$170.35	$248.77	$369.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $396.72 / $399.52 / $568.88	Professional		$396.72	$399.52	$568.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.08 / $434.26 / $434.26	Professional		$424.08	$434.26	$434.26
United Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $216.65 / $434.26	Professional		$154.36	$216.65	$434.26