Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.25 / $667.25 / $667.25	Facility		$667.25	$667.25	$667.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.25 / $822.18 / $1,250.38	Professional		$667.25	$822.18	$1,250.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,960.01	Facility		$1,107.01	$1,107.01	$1,960.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,107.01 / $1,660.99	Professional		$808.12	$1,107.01	$1,660.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.62 / $1,803.21 / $2,567.61	Professional		$1,790.62	$1,803.21	$2,567.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,914.07 / $1,960.01 / $1,960.01	Professional		$1,914.07	$1,960.01	$1,960.01
United Facility/Professional Professional Modifier Low / Median / High Price $802.52 / $977.83 / $1,799.39	Professional		$802.52	$977.83	$1,799.39