Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.86 / $499.86 / $1,241.24	Facility		$499.86	$499.86	$1,241.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.86 / $638.98 / $808.02	Professional		$499.86	$638.98	$808.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,468.32	Facility		$1,038.85	$1,038.85	$1,468.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,285.71	Professional		$758.37	$758.37	$1,285.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.43 / $1,350.85 / $1,923.50	Professional		$1,341.43	$1,350.85	$1,923.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,433.91 / $1,468.32 / $1,468.32	Professional		$1,433.91	$1,468.32	$1,468.32
United Facility/Professional Professional Modifier Low / Median / High Price $608.77 / $732.53 / $1,468.32	Professional		$608.77	$732.53	$1,468.32