Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.18 / $398.18 / $1,144.95	Facility		$398.18	$398.18	$1,144.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.18 / $508.99 / $643.64	Professional		$398.18	$508.99	$643.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $1,169.59	Facility		$736.69	$736.69	$1,169.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $1,389.38	Professional		$537.78	$537.78	$1,389.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.52 / $1,076.03 / $1,532.18	Professional		$1,068.52	$1,076.03	$1,532.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.19 / $1,169.59 / $1,169.59	Professional		$1,142.19	$1,169.59	$1,169.59
United Facility/Professional Professional Modifier Low / Median / High Price $484.93 / $583.50 / $1,169.59	Professional		$484.93	$583.50	$1,169.59