Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $148.60 / $148.60	Facility		$148.60	$148.60	$148.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $177.04 / $257.87	Professional		$148.60	$177.04	$257.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $404.37	Facility		$252.68	$252.68	$404.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $354.08	Professional		$194.10	$194.10	$354.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.41 / $372.02 / $529.72	Professional		$369.41	$372.02	$529.72
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $187.08 / $268.98	Professional		$187.08	$187.08	$268.98
United Facility/Professional Professional Modifier Low / Median / High Price $182.33 / $201.73 / $371.22	Professional		$182.33	$201.73	$371.22