Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.22 / $217.22 / $217.22	Facility		$217.22	$217.22	$217.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.22 / $244.54 / $332.45	Professional		$217.22	$244.54	$332.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.36 / $364.44 / $591.10	Facility		$323.36	$364.44	$591.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $266.04 / $517.59	Professional		$266.04	$266.04	$517.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $540.03 / $543.80 / $774.34	Professional		$540.03	$543.80	$774.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.62 / $591.10 / $591.10	Professional		$562.62	$591.10	$591.10
United Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $310.95 / $591.10	Professional		$265.39	$310.95	$591.10