Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.20 / $264.20 / $264.20	Facility		$264.20	$264.20	$264.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $347.44 / $451.87	Professional		$264.20	$347.44	$451.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.81 / $511.94 / $718.95	Facility		$450.81	$511.94	$718.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $959.63	Professional		$373.72	$373.72	$959.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $656.81 / $661.43 / $941.82	Professional		$656.81	$661.43	$941.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.10 / $718.95 / $718.95	Professional		$702.10	$718.95	$718.95
United Facility/Professional Professional Modifier Low / Median / High Price $331.63 / $407.23 / $718.95	Professional		$331.63	$407.23	$718.95