Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.90 / $255.90 / $255.90	Facility		$255.90	$255.90	$255.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.90 / $295.93 / $419.37	Professional		$255.90	$295.93	$419.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.92 / $410.92 / $696.36	Facility		$389.92	$410.92	$696.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $609.76	Professional		$299.97	$299.97	$609.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $636.17 / $640.65 / $912.23	Professional		$636.17	$640.65	$912.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.04 / $696.36 / $696.36	Professional		$680.04	$696.36	$696.36
United Facility/Professional Professional Modifier Low / Median / High Price $313.99 / $361.39 / $696.36	Professional		$313.99	$361.39	$696.36