Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.62 / $192.62 / $192.62	Facility		$192.62	$192.62	$192.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $230.11 / $335.17	Professional		$192.62	$230.11	$335.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $524.12	Facility		$420.61	$420.61	$524.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $357.52 / $458.94	Professional		$357.52	$357.52	$458.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.84 / $482.19 / $686.60	Professional		$478.84	$482.19	$686.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $242.49 / $348.64	Professional		$242.49	$242.49	$348.64
United Facility/Professional Professional Modifier Low / Median / High Price $236.34 / $282.95 / $524.12	Professional		$236.34	$282.95	$524.12