Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.39 / $258.39 / $258.39	Facility		$258.39	$258.39	$258.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.50 / $287.66 / $336.31	Professional		$257.50	$287.66	$336.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $703.15	Facility		$329.53	$329.53	$703.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $611.25	Professional		$240.56	$240.56	$611.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $642.38 / $646.90 / $921.13	Professional		$642.38	$646.90	$921.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.67 / $703.15 / $703.15	Professional		$686.67	$703.15	$703.15
United Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $350.79 / $645.53	Professional		$290.45	$350.79	$645.53