Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.88 / $250.88 / $250.88	Facility		$250.88	$250.88	$250.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.88 / $308.68 / $475.87	Professional		$250.88	$308.68	$475.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $682.68	Facility		$394.91	$394.91	$682.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $597.78	Professional		$288.27	$288.27	$597.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $623.67 / $628.07 / $894.31	Professional		$623.67	$628.07	$894.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.68 / $682.68 / $682.68	Professional		$666.68	$682.68	$682.68
United Facility/Professional Professional Modifier Low / Median / High Price $307.82 / $340.58 / $626.73	Professional		$307.82	$340.58	$626.73