Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.62 / $685.62 / $685.62	Facility		$685.62	$685.62	$685.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.62 / $917.01 / $1,265.15	Professional		$685.62	$917.01	$1,265.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,159.26 / $1,544.16 / $2,013.95	Facility		$1,159.26	$1,544.16	$2,013.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,127.24 / $1,763.48	Professional		$1,127.24	$1,127.24	$1,763.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,839.89 / $1,852.83 / $2,638.27	Professional		$1,839.89	$1,852.83	$2,638.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,763.48 / $1,842.02 / $2,013.95	Professional		$1,763.48	$1,842.02	$2,013.95
United Facility/Professional Professional Modifier Low / Median / High Price $904.26 / $1,004.74 / $2,013.95	Professional		$904.26	$1,004.74	$2,013.95