Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $148.19 / $148.19	Facility		$148.19	$148.19	$148.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $180.10 / $340.35	Professional		$148.19	$180.10	$340.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $403.29	Facility		$260.88	$260.88	$403.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $353.13	Professional		$190.44	$190.44	$353.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $371.03 / $528.30	Professional		$368.44	$371.03	$528.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.86 / $403.29 / $403.29	Professional		$383.86	$403.29	$403.29
United Facility/Professional Professional Modifier Low / Median / High Price $181.84 / $231.77 / $403.29	Professional		$181.84	$231.77	$403.29