Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $625.00 / $625.00	Facility		$625.00	$625.00	$625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $832.75 / $1,146.55	Professional		$625.00	$832.75	$1,146.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.75 / $1,395.53 / $1,835.91	Facility		$1,091.75	$1,395.53	$1,835.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $2,500.88	Professional		$1,018.74	$1,018.74	$2,500.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,677.24 / $1,689.04 / $2,405.04	Professional		$1,677.24	$1,689.04	$2,405.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,792.88 / $1,835.91 / $1,835.91	Professional		$1,792.88	$1,835.91	$1,835.91
United Facility/Professional Professional Modifier Low / Median / High Price $807.98 / $915.92 / $1,835.91	Professional		$807.98	$915.92	$1,835.91