Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.91 / $154.91 / $154.91	Facility		$154.91	$154.91	$154.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $183.45 / $271.33	Professional		$154.91	$183.45	$271.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.71 / $306.16 / $421.54	Facility		$231.71	$306.16	$421.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $369.12	Professional		$223.50	$223.50	$369.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $385.12 / $387.82 / $552.22	Professional		$385.12	$387.82	$552.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.66 / $421.54 / $421.54	Professional		$411.66	$421.54	$421.54
United Facility/Professional Professional Modifier Low / Median / High Price $190.08 / $240.74 / $421.54	Professional		$190.08	$240.74	$421.54