Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.14 / $247.14 / $247.14	Facility		$247.14	$247.14	$247.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $294.39 / $428.18	Professional		$247.14	$294.39	$428.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $672.49	Facility		$436.96	$436.96	$672.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $318.98 / $588.86	Professional		$318.98	$318.98	$588.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.39 / $618.69 / $880.96	Professional		$614.39	$618.69	$880.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.73 / $672.49 / $672.49	Professional		$656.73	$672.49	$672.49
United Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $353.77 / $672.49	Professional		$302.95	$353.77	$672.49