Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,412.54	Professional		$602.56	$758.58	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,584.89	Facility		$1,122.02	$1,122.02	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,290.87	Professional		$1,023.29	$1,659.59	$2,290.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,548.82 / $1,949.84	Facility		$537.03	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,288.25	Professional		$691.83	$776.25	$1,288.25