Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.90 / $153.90 / $153.90	Facility		$153.90	$153.90	$153.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $187.02 / $312.45	Professional		$153.90	$187.02	$312.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $418.79	Facility		$327.20	$327.20	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $366.70	Professional		$238.86	$238.86	$366.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $382.59 / $385.29 / $548.61	Professional		$382.59	$385.29	$548.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.61 / $418.79 / $418.79	Professional		$398.61	$418.79	$418.79
United Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $314.73 / $418.79	Facility		$276.08	$314.73	$418.79
United Facility/Professional Professional Modifier Low / Median / High Price $193.18 / $211.21 / $384.47	Professional		$193.18	$211.21	$384.47