Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.36 / $720.36 / $720.36	Facility		$720.36	$720.36	$720.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.36 / $853.81 / $996.99	Professional		$720.36	$853.81	$996.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $2,118.12	Facility		$1,037.25	$1,037.25	$2,118.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $757.19 / $1,854.70	Professional		$757.19	$757.19	$1,854.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.07 / $1,948.67 / $2,774.74	Professional		$1,935.07	$1,948.67	$2,774.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,854.70 / $2,118.12 / $2,118.12	Professional		$1,854.70	$2,118.12	$2,118.12
United Facility/Professional Professional Modifier Low / Median / High Price $820.76 / $1,056.71 / $2,118.12	Professional		$820.76	$1,056.71	$2,118.12