Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $161.96 / $161.96	Facility		$161.96	$161.96	$161.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $222.10 / $298.02	Professional		$161.96	$222.10	$298.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $315.70 / $440.72	Facility		$251.68	$315.70	$440.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $385.91	Professional		$230.47	$230.47	$385.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $402.63 / $405.46 / $577.34	Professional		$402.63	$405.46	$577.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.91 / $440.72 / $440.72	Professional		$385.91	$440.72	$440.72
United Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $251.69 / $440.72	Professional		$203.29	$251.69	$440.72