Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,380.38	Professional		$645.65	$870.96	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,659.59	Facility		$1,258.93	$1,258.93	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,454.71	Professional		$1,096.48	$1,778.28	$2,454.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,089.30	Facility		$1,023.29	$1,659.59	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,380.38	Professional		$741.31	$870.96	$1,380.38