Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.52 / $245.52 / $245.52	Facility		$245.52	$245.52	$245.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.52 / $292.52 / $426.08	Professional		$245.52	$292.52	$426.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $668.13	Facility		$375.74	$375.74	$668.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $774.75	Professional		$319.38	$319.38	$774.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $610.37 / $614.67 / $875.25	Professional		$610.37	$614.67	$875.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.08 / $309.08 / $444.43	Professional		$309.08	$309.08	$444.43
United Facility/Professional Professional Modifier Low / Median / High Price $301.25 / $351.46 / $668.13	Professional		$301.25	$351.46	$668.13