Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,778.28	Professional		$776.25	$1,000.00	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,137.96	Facility		$1,288.25	$1,513.56	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,090.30	Professional		$1,380.38	$2,238.72	$3,090.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,137.96	Facility		$1,148.15	$1,318.26	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,621.81	Professional		$954.99	$1,096.48	$1,621.81