Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,995.26	Professional		$891.25	$1,202.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $2,344.23	Facility		$1,445.44	$1,513.56	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $3,388.44	Professional		$1,513.56	$2,454.71	$3,388.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,621.81 / $2,630.27	Facility		$870.96	$1,621.81	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,905.46	Professional		$1,023.29	$1,148.15	$1,905.46