Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,548.82	Professional		$602.56	$741.31	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $1,621.81	Facility		$870.96	$891.25	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $891.25	Professional		$645.65	$645.65	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,344.23	Professional		$1,047.13	$1,698.24	$2,344.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $1,621.81	Facility		$512.86	$870.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,230.27	Professional		$676.08	$794.33	$1,230.27