Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.04 / $608.04 / $608.04	Facility		$608.04	$608.04	$608.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $738.91 / $1,390.89	Professional		$608.04	$738.91	$1,390.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.27 / $1,427.14 / $1,654.62	Facility		$953.27	$1,427.14	$1,654.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,469.95	Professional		$1,041.81	$1,041.81	$1,469.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.62 / $1,522.25 / $2,167.55	Professional		$1,511.62	$1,522.25	$2,167.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,615.84 / $1,654.62 / $1,654.62	Professional		$1,615.84	$1,654.62	$1,654.62
United Facility/Professional Professional Modifier Low / Median / High Price $746.08 / $884.46 / $1,654.62	Professional		$746.08	$884.46	$1,654.62