Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.15 / $642.15 / $642.15	Facility		$642.15	$642.15	$642.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.15 / $780.34 / $1,322.65	Professional		$642.15	$780.34	$1,322.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.19 / $1,375.24 / $1,747.40	Facility		$1,020.19	$1,375.24	$1,747.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,530.08	Professional		$1,003.93	$1,003.93	$1,530.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,596.38 / $1,607.61 / $2,289.09	Professional		$1,596.38	$1,607.61	$2,289.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,663.20 / $1,747.40 / $1,747.40	Professional		$1,663.20	$1,747.40	$1,747.40
United Facility/Professional Professional Modifier Low / Median / High Price $787.91 / $997.92 / $1,747.40	Professional		$787.91	$997.92	$1,747.40