Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.55 / $569.55 / $569.55	Facility		$569.55	$569.55	$569.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.55 / $692.14 / $1,007.69	Professional		$569.55	$692.14	$1,007.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.22 / $1,111.22 / $1,549.90	Facility		$1,111.22	$1,111.22	$1,549.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $811.19 / $1,840.88	Professional		$811.19	$811.19	$1,840.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.94 / $1,425.91 / $2,030.37	Professional		$1,415.94	$1,425.91	$2,030.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.57 / $1,549.90 / $1,549.90	Professional		$1,513.57	$1,549.90	$1,549.90
United Facility/Professional Professional Modifier Low / Median / High Price $698.84 / $804.36 / $1,549.90	Professional		$698.84	$804.36	$1,549.90