Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.29 / $184.29 / $184.29	Facility		$184.29	$184.29	$184.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $282.63 / $385.11	Professional		$184.29	$282.63	$385.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.42 / $344.22 / $501.48	Facility		$328.42	$344.22	$501.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $439.11	Professional		$251.28	$251.28	$439.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $458.14 / $461.36 / $656.94	Professional		$458.14	$461.36	$656.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $333.58	Professional		$232.00	$232.00	$333.58
United Facility/Professional Professional Modifier Low / Median / High Price $231.31 / $268.06 / $501.48	Professional		$231.31	$268.06	$501.48