Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.25 / $258.25 / $258.25	Facility		$258.25	$258.25	$258.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.25 / $275.01 / $372.49	Professional		$258.25	$275.01	$372.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.92 / $503.81 / $702.75	Facility		$367.92	$503.81	$702.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $903.00	Professional		$367.78	$367.78	$903.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $642.01 / $646.53 / $920.60	Professional		$642.01	$646.53	$920.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.28 / $702.75 / $702.75	Professional		$686.28	$702.75	$702.75
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $315.52 / $364.72 / $645.16	Professional		$315.52	$364.72	$645.16