Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.18 / $258.18 / $258.18	Facility		$258.18	$258.18	$258.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.09 / $296.79 / $368.76	Professional		$234.09	$296.79	$368.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.06 / $477.88 / $758.39	Facility		$373.06	$477.88	$758.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $856.50	Professional		$348.85	$348.85	$856.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $692.85 / $697.72 / $993.49	Professional		$692.85	$697.72	$993.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.62 / $758.39 / $758.39	Professional		$740.62	$758.39	$758.39
United Facility/Professional Professional Modifier Low / Median / High Price $266.11 / $378.35 / $696.25	Professional		$266.11	$378.35	$696.25