Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.68 / $387.68 / $387.68	Facility		$387.68	$387.68	$387.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $468.81 / $626.78	Professional		$387.68	$468.81	$626.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $1,077.28	Facility		$616.27	$616.27	$1,077.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $449.88 / $943.30	Professional		$449.88	$449.88	$943.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $984.17 / $991.10 / $1,411.24	Professional		$984.17	$991.10	$1,411.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Professional		$895.74	$895.74	$895.74
United Facility/Professional Professional Modifier Low / Median / High Price $487.64 / $537.44 / $1,077.28	Professional		$487.64	$537.44	$1,077.28