Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.51 / $150.51 / $150.51	Facility		$150.51	$150.51	$150.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $160.28 / $203.02	Professional		$150.51	$160.28	$203.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $409.58	Facility		$221.07	$221.07	$409.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $358.64	Professional		$161.38	$161.38	$358.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $374.18 / $376.81 / $536.54	Professional		$374.18	$376.81	$536.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.98 / $409.58 / $409.58	Professional		$399.98	$409.58	$409.58
United Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $209.88 / $409.58	Professional		$168.14	$209.88	$409.58