Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.30 / $211.30 / $211.30	Facility		$211.30	$211.30	$211.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.30 / $288.19 / $450.22	Professional		$211.30	$288.19	$450.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.61 / $444.49 / $574.98	Facility		$333.61	$444.49	$574.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $503.47	Professional		$324.48	$324.48	$503.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $525.29 / $528.98 / $753.22	Professional		$525.29	$528.98	$753.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.89 / $574.98 / $574.98	Professional		$525.89	$574.98	$574.98
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $330.44 / $574.98	Professional		$264.00	$330.44	$574.98