Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.58 / $168.58 / $168.58	Facility		$168.58	$168.58	$168.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $204.86 / $298.26	Professional		$168.58	$204.86	$298.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $458.73	Facility		$294.27	$294.27	$458.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $401.68	Professional		$214.82	$214.82	$401.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $419.09 / $422.03 / $600.94	Professional		$419.09	$422.03	$600.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.98 / $458.73 / $458.73	Professional		$447.98	$458.73	$458.73
United Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $315.52 / $458.73	Facility		$276.79	$315.52	$458.73
United Facility/Professional Professional Modifier Low / Median / High Price $206.84 / $228.86 / $458.73	Professional		$206.84	$228.86	$458.73