Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.14 / $612.14 / $612.14	Facility		$612.14	$612.14	$612.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.14 / $782.51 / $989.53	Professional		$612.14	$782.51	$989.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,798.13	Facility		$1,028.38	$1,028.38	$1,798.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $1,574.51	Professional		$750.72	$750.72	$1,574.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,642.73 / $1,654.28 / $2,355.55	Professional		$1,642.73	$1,654.28	$2,355.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,574.51 / $1,798.13 / $1,798.13	Professional		$1,574.51	$1,798.13	$1,798.13
United Facility/Professional Professional Modifier Low / Median / High Price $745.52 / $897.07 / $1,798.13	Professional		$745.52	$897.07	$1,798.13