Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.74 / $722.74 / $722.74	Facility		$722.74	$722.74	$722.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.74 / $923.88 / $1,168.28	Professional		$722.74	$923.88	$1,168.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $2,123.00	Facility		$1,540.39	$1,540.39	$2,123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,124.48 / $1,858.97	Professional		$1,124.48	$1,124.48	$1,858.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,939.51 / $1,953.16 / $2,781.13	Professional		$1,939.51	$1,953.16	$2,781.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,073.23 / $2,123.00 / $2,123.00	Professional		$2,073.23	$2,123.00	$2,123.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.20 / $1,059.14 / $2,123.00	Professional		$880.20	$1,059.14	$2,123.00