Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.56 / $162.56 / $162.56	Facility		$162.56	$162.56	$162.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $229.31 / $314.33	Professional		$162.56	$229.31	$314.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $442.37	Facility		$274.52	$274.52	$442.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $387.35	Professional		$200.41	$200.41	$387.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $404.12 / $406.98 / $579.50	Professional		$404.12	$406.98	$579.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.35 / $432.00 / $442.37	Professional		$387.35	$432.00	$442.37
United Facility/Professional Professional Modifier Low / Median / High Price $199.46 / $236.46 / $442.37	Professional		$199.46	$236.46	$442.37