Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,071.52	Professional		$457.09	$575.44	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,202.26	Facility		$776.25	$776.25	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Professional		$575.44	$575.44	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $1,737.80	Professional		$776.25	$1,258.93	$1,737.80
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,174.90 / $1,479.11	Facility		$407.38	$1,174.90	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $977.24	Professional		$537.03	$588.84	$977.24