Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.39 / $219.39 / $219.39	Facility		$219.39	$219.39	$219.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $266.61 / $507.64	Professional		$219.39	$266.61	$507.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $597.02	Facility		$380.63	$380.63	$597.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $522.77	Professional		$277.86	$277.86	$522.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $545.41 / $549.26 / $782.10	Professional		$545.41	$549.26	$782.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.77 / $583.03 / $597.02	Professional		$522.77	$583.03	$597.02
United Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $356.19 / $597.02	Professional		$269.20	$356.19	$597.02