Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $155.44 / $155.44	Facility		$155.44	$155.44	$155.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $188.90 / $298.58	Professional		$155.44	$188.90	$298.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.97 / $293.77 / $423.00	Facility		$245.97	$293.77	$423.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $370.40	Professional		$214.45	$214.45	$370.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $386.45 / $389.16 / $554.13	Professional		$386.45	$389.16	$554.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.09 / $423.00 / $423.00	Professional		$413.09	$423.00	$423.00
United Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $564.00 / $676.80	Facility		$479.40	$564.00	$676.80
United Facility/Professional Professional Modifier Low / Median / High Price $190.73 / $241.57 / $423.00	Professional		$190.73	$241.57	$423.00