Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.08 / $627.08 / $627.08	Facility		$627.08	$627.08	$627.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.08 / $832.76 / $1,075.90	Professional		$627.08	$832.76	$1,075.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,842.00	Facility		$1,186.93	$1,186.93	$1,842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,612.93	Professional		$866.46	$866.46	$1,612.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.82 / $1,694.64 / $2,413.02	Professional		$1,682.82	$1,694.64	$2,413.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.83 / $1,842.00 / $1,842.00	Professional		$1,798.83	$1,842.00	$1,842.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $811.46 / $918.96 / $1,842.00	Professional		$811.46	$918.96	$1,842.00