Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.83 / $147.83 / $511.12	Facility		$147.83	$147.83	$511.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $164.09 / $207.81	Professional		$147.83	$164.09	$207.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $402.29	Facility		$274.27	$274.27	$402.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $352.25	Professional		$233.13	$233.13	$352.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $367.52 / $370.11 / $527.00	Professional		$367.52	$370.11	$527.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $186.11 / $267.58	Professional		$186.11	$186.11	$267.58
United Facility/Professional Professional Modifier Low / Median / High Price $177.37 / $203.46 / $402.29	Professional		$177.37	$203.46	$402.29