Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.92 / $171.92 / $171.92	Facility		$171.92	$171.92	$171.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.54 / $183.08 / $255.68	Professional		$171.54	$183.08	$255.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $467.83	Facility		$228.28	$228.28	$467.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $409.65	Professional		$166.64	$166.64	$409.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.40 / $430.40 / $612.86	Professional		$427.40	$430.40	$612.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.87 / $467.83 / $467.83	Professional		$456.87	$467.83	$467.83
United Facility/Professional Professional Modifier Low / Median / High Price $207.38 / $233.39 / $365.32	Professional		$207.38	$233.39	$365.32