Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.44 / $670.44 / $670.44	Facility		$670.44	$670.44	$670.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.44 / $814.73 / $1,395.87	Professional		$670.44	$814.73	$1,395.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,070.47 / $1,573.58 / $1,824.39	Facility		$1,070.47	$1,573.58	$1,824.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,148.71 / $1,620.79	Professional		$1,148.71	$1,148.71	$1,620.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.72 / $1,678.44 / $2,389.94	Professional		$1,666.72	$1,678.44	$2,389.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.02 / $844.02 / $1,213.56	Professional		$844.02	$844.02	$1,213.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $822.62 / $1,041.89 / $1,824.39	Professional		$822.62	$1,041.89	$1,824.39