Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.64 / $710.64 / $710.64	Facility		$710.64	$710.64	$710.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.64 / $846.65 / $1,413.69	Professional		$710.64	$846.65	$1,413.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.48 / $1,226.77 / $1,933.80	Facility		$1,122.48	$1,226.77	$1,933.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $1,693.30	Professional		$895.54	$895.54	$1,693.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,766.66 / $1,779.10 / $2,533.28	Professional		$1,766.66	$1,779.10	$2,533.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,888.48 / $1,933.80 / $1,933.80	Professional		$1,888.48	$1,933.80	$1,933.80
United Facility/Professional Professional Modifier Low / Median / High Price $871.96 / $1,017.28 / $1,775.32	Professional		$871.96	$1,017.28	$1,775.32