Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.30 / $421.30 / $421.30	Facility		$421.30	$421.30	$421.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.30 / $490.59 / $624.38	Professional		$421.30	$490.59	$624.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.46 / $751.98 / $1,237.57	Facility		$663.46	$751.98	$1,237.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $1,347.75	Professional		$548.95	$548.95	$1,347.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.59 / $1,138.56 / $1,621.22	Professional		$1,130.59	$1,138.56	$1,621.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.56 / $1,237.57 / $1,237.57	Professional		$1,208.56	$1,237.57	$1,237.57
United Facility/Professional Facility Modifier Low / Median / High Price $365.54 / $479.78 / $1,237.57	Facility		$365.54	$479.78	$1,237.57
United Facility/Professional Professional Modifier Low / Median / High Price $439.56 / $617.41 / $1,237.57	Professional		$439.56	$617.41	$1,237.57