Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.11 / $185.11 / $185.11	Facility		$185.11	$185.11	$185.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $219.47 / $276.20	Professional		$185.11	$219.47	$276.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.52 / $352.55 / $543.73	Facility		$272.52	$352.55	$543.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $476.11	Professional		$257.36	$257.36	$476.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $496.75 / $500.23 / $712.29	Professional		$496.75	$500.23	$712.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.99 / $543.73 / $543.73	Professional		$530.99	$543.73	$543.73
United Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $271.27 / $499.18	Professional		$208.32	$271.27	$499.18