Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.27 / $251.27 / $251.27	Facility		$251.27	$251.27	$251.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $307.11 / $510.95	Professional		$251.27	$307.11	$510.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.22 / $427.25 / $683.74	Facility		$400.22	$427.25	$683.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $598.71	Professional		$311.89	$311.89	$598.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $629.04 / $895.70	Professional		$624.66	$629.04	$895.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $683.74 / $683.74	Professional		$650.79	$683.74	$683.74
United Facility/Professional Professional Modifier Low / Median / High Price $310.10 / $354.85 / $683.74	Professional		$310.10	$354.85	$683.74