Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,089.30	Professional		$812.83	$1,230.27	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,137.96	Facility		$1,202.26	$1,621.81	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,621.81	Professional		$1,174.90	$1,174.90	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,090.30	Professional		$1,380.38	$2,238.72	$3,090.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $2,398.83	Facility		$794.33	$1,584.89	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,737.80	Professional		$933.25	$1,096.48	$1,737.80