Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.99 / $170.99 / $170.99	Facility		$170.99	$170.99	$170.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $200.30 / $259.08	Professional		$170.99	$200.30	$259.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.86 / $280.67 / $465.29	Facility		$238.86	$280.67	$465.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $407.42	Professional		$204.89	$204.89	$407.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $425.07 / $428.07 / $609.53	Professional		$425.07	$428.07	$609.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.38 / $465.29 / $465.29	Professional		$454.38	$465.29	$465.29
United Facility/Professional Professional Modifier Low / Median / High Price $209.80 / $248.71 / $427.16	Professional		$209.80	$248.71	$427.16