Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.45 / $645.45 / $645.45	Facility		$645.45	$645.45	$645.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.02 / $645.45 / $1,207.73	Professional		$563.02	$645.45	$1,207.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $881.10	Facility		$881.10	$881.10	$881.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $881.10 / $1,620.00	Professional		$748.94	$881.10	$1,620.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.00 / $1,938.00 / $1,938.00	Professional		$1,938.00	$1,938.00	$1,938.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.68 / $965.68 / $965.68	Professional		$965.68	$965.68	$965.68
United Facility/Professional Professional Modifier Low / Median / High Price $749.44 / $920.44 / $1,301.73	Professional		$749.44	$920.44	$1,301.73