Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.17 / $691.17 / $691.17	Facility		$691.17	$691.17	$691.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.17 / $863.50 / $1,287.45	Professional		$691.17	$863.50	$1,287.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,085.97 / $1,576.65 / $1,880.80	Facility		$1,085.97	$1,576.65	$1,880.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $1,646.90	Professional		$1,150.95	$1,150.95	$1,646.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,718.25 / $1,730.34 / $2,463.85	Professional		$1,718.25	$1,730.34	$2,463.85
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,836.72 / $1,880.80 / $1,880.80	Professional		$1,836.72	$1,880.80	$1,880.80
United Facility/Professional Professional Modifier Low / Median / High Price $848.06 / $1,078.24 / $1,726.67	Professional		$848.06	$1,078.24	$1,726.67