Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.68 / $321.68 / $321.68	Facility		$321.68	$321.68	$321.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.68 / $390.91 / $586.84	Professional		$321.68	$390.91	$586.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.64 / $612.94 / $875.36	Facility		$503.64	$612.94	$875.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $766.49	Professional		$447.45	$447.45	$766.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $799.70 / $805.33 / $1,146.72	Professional		$799.70	$805.33	$1,146.72
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.84 / $875.36 / $875.36	Professional		$854.84	$875.36	$875.36
United Facility/Professional Facility Modifier Low / Median / High Price $577.08 / $657.83 / $657.98	Facility		$577.08	$657.83	$657.98
United Facility/Professional Professional Modifier Low / Median / High Price $394.70 / $470.37 / $875.36	Professional		$394.70	$470.37	$875.36