Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.23 / $398.23 / $398.23	Facility		$398.23	$398.23	$398.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $499.55 / $826.06	Professional		$398.23	$499.55	$826.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.19 / $875.29 / $1,083.67	Facility		$633.19	$875.29	$1,083.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $948.90	Professional		$638.96	$638.96	$948.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $990.01 / $996.98 / $1,419.61	Professional		$990.01	$996.98	$1,419.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.45 / $1,083.67 / $1,083.67	Professional		$1,031.45	$1,083.67	$1,083.67
United Facility/Professional Professional Modifier Low / Median / High Price $497.57 / $565.65 / $1,083.67	Professional		$497.57	$565.65	$1,083.67