Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.77 / $684.77 / $684.77	Facility		$684.77	$684.77	$684.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.77 / $792.53 / $1,472.29	Professional		$684.77	$792.53	$1,472.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,029.46 / $1,530.70 / $1,863.38	Facility		$1,029.46	$1,530.70	$1,863.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $2,743.13	Professional		$1,117.41	$1,117.41	$2,743.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.35 / $1,714.31 / $2,441.03	Professional		$1,702.35	$1,714.31	$2,441.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.71 / $1,863.38 / $1,863.38	Professional		$1,819.71	$1,863.38	$1,863.38
United Facility/Professional Professional Modifier Low / Median / High Price $840.21 / $967.07 / $1,863.38	Professional		$840.21	$967.07	$1,863.38