Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.88 / $757.65 / $1,437.21	Professional		$576.88	$757.65	$1,437.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,974.00	Professional		$949.10	$1,116.58	$1,974.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,566.63 / $1,566.63 / $1,720.55	Professional		$1,566.63	$1,566.63	$1,720.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $1,145.70 / $1,145.70	Professional		$127.38	$1,145.70	$1,145.70
United Facility/Professional Professional Modifier Low / Median / High Price $756.50 / $974.23 / $1,575.34	Professional		$756.50	$974.23	$1,575.34