Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.34 / $612.34 / $612.34	Facility		$612.34	$612.34	$612.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.48 / $703.91 / $826.33	Professional		$609.48	$703.91	$826.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $1,798.73	Facility		$842.96	$842.96	$1,798.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $1,575.03	Professional		$615.36	$615.36	$1,575.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.27 / $1,654.83 / $2,356.34	Professional		$1,643.27	$1,654.83	$2,356.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,756.57 / $1,798.73 / $1,798.73	Professional		$1,756.57	$1,798.73	$1,798.73
United Facility/Professional Professional Modifier Low / Median / High Price $631.15 / $897.37 / $1,798.73	Professional		$631.15	$897.37	$1,798.73