Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.99 / $762.99 / $762.99	Facility		$762.99	$762.99	$762.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $668.97 / $762.99	Professional		$540.96	$668.97	$762.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $956.64 / $1,594.41 / $2,845.70	Facility		$956.64	$1,594.41	$2,845.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.13 / $1,124.40 / $1,420.10	Professional		$1,044.13	$1,124.40	$1,420.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $893.25 / $893.25 / $893.25	Professional		$893.25	$893.25	$893.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,361.24 / $1,624.57 / $3,216.88	Facility		$1,361.24	$1,624.57	$3,216.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.82 / $813.67 / $1,140.83	Professional		$561.82	$813.67	$1,140.83
United Facility/Professional Professional Modifier Low / Median / High Price $423.17 / $722.12 / $1,272.10	Professional		$423.17	$722.12	$1,272.10