Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.57 / $148.57 / $148.57	Facility		$148.57	$148.57	$148.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $180.55 / $262.85	Professional		$148.57	$180.55	$262.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $404.30	Facility		$267.94	$267.94	$404.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $354.01	Professional		$195.60	$195.60	$354.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.35 / $371.96 / $529.63	Professional		$369.35	$371.96	$529.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.82 / $404.30 / $404.30	Professional		$394.82	$404.30	$404.30
United Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $216.10 / $404.30	Professional		$182.29	$216.10	$404.30