Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.70 / $256.70 / $256.70	Facility		$256.70	$256.70	$256.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $311.95 / $515.66	Professional		$256.70	$311.95	$515.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.96 / $555.76 / $698.54	Facility		$408.96	$555.76	$698.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $405.70 / $611.66	Professional		$405.70	$405.70	$611.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $638.16 / $642.66 / $915.09	Professional		$638.16	$642.66	$915.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.17 / $698.54 / $698.54	Professional		$682.17	$698.54	$698.54
United Facility/Professional Professional Modifier Low / Median / High Price $314.97 / $401.45 / $698.54	Professional		$314.97	$401.45	$698.54