Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.46 / $564.46 / $564.46	Facility		$564.46	$564.46	$564.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.40 / $601.10 / $818.21	Professional		$533.40	$601.10	$818.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.33 / $930.44 / $1,536.01	Facility		$751.33	$930.44	$1,536.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $1,344.99	Professional		$679.22	$679.22	$1,344.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.26 / $1,413.13 / $2,012.17	Professional		$1,403.26	$1,413.13	$2,012.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.01 / $1,536.01 / $1,536.01	Professional		$1,500.01	$1,536.01	$1,536.01
United Facility/Professional Professional Modifier Low / Median / High Price $612.71 / $766.30 / $1,410.14	Professional		$612.71	$766.30	$1,410.14