Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.90 / $199.90 / $199.90	Facility		$199.90	$199.90	$199.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.90 / $230.06 / $376.75	Professional		$199.90	$230.06	$376.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.55 / $305.54 / $543.96	Facility		$294.55	$305.54	$543.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $476.31	Professional		$223.04	$223.04	$476.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $496.96 / $500.44 / $712.59	Professional		$496.96	$500.44	$712.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.65 / $361.84 / $361.84	Professional		$251.65	$361.84	$361.84
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $245.27 / $310.64 / $543.96	Professional		$245.27	$310.64	$543.96