Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.65 / $250.65 / $250.65	Facility		$250.65	$250.65	$250.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.65 / $292.43 / $438.21	Professional		$250.65	$292.43	$438.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.19 / $468.67 / $682.08	Facility		$384.19	$468.67	$682.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $597.25	Professional		$342.13	$342.13	$597.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $623.13 / $627.51 / $893.52	Professional		$623.13	$627.51	$893.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.09 / $682.08 / $682.08	Professional		$666.09	$682.08	$682.08
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $340.28 / $682.08	Professional		$295.27	$340.28	$682.08