Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $501.19	Professional		$223.87	$338.84	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $588.84	Facility		$354.81	$489.78	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $851.14	Professional		$380.19	$616.60	$851.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $660.69	Facility		$302.00	$426.58	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $478.63	Professional		$257.04	$302.00	$478.63