Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $630.96	Professional		$309.03	$371.54	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $794.33	Facility		$489.78	$489.78	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Professional		$354.81	$354.81	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,148.15	Professional		$512.86	$831.76	$1,148.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $562.34 / $870.96	Facility		$489.78	$562.34	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $630.96	Professional		$354.81	$407.38	$630.96