Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.89 / $198.89 / $198.89	Facility		$198.89	$198.89	$198.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $159.38 / $300.97	Professional		$120.66	$159.38	$300.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $775.20 / $775.20 / $775.20	Professional		$775.20	$775.20	$775.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.52 / $226.49 / $238.10	Professional		$192.52	$226.49	$238.10
United Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $178.57 / $322.89	Professional		$148.75	$178.57	$322.89