Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.29 / $157.29 / $157.29	Facility		$157.29	$157.29	$157.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $167.50 / $250.33	Professional		$157.29	$167.50	$250.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.74 / $274.64 / $427.99	Facility		$231.74	$274.64	$427.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $374.77	Professional		$200.49	$200.49	$374.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $391.01 / $393.75 / $560.66	Professional		$391.01	$393.75	$560.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.77 / $391.46 / $427.99	Professional		$374.77	$391.46	$427.99
United Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $225.16 / $427.99	Professional		$182.14	$225.16	$427.99