Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.65 / $172.65 / $172.65	Facility		$172.65	$172.65	$172.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.65 / $204.46 / $335.08	Professional		$172.65	$204.46	$335.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.38 / $366.26 / $469.82	Facility		$259.38	$366.26	$469.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $411.39	Professional		$267.37	$267.37	$411.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $429.23 / $432.23 / $615.46	Professional		$429.23	$432.23	$615.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.81 / $469.82 / $469.82	Professional		$458.81	$469.82	$469.82
United Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $247.15 / $469.82	Professional		$210.95	$247.15	$469.82