Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,621.81	Professional		$758.58	$933.25	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,187.76	Facility		$1,096.48	$1,096.48	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Professional		$812.83	$812.83	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,162.28	Professional		$1,445.44	$2,290.87	$3,162.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,041.74 / $2,398.83	Facility		$660.69	$2,041.74	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,698.24	Professional		$851.14	$1,071.52	$1,698.24