Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.55 / $773.55 / $773.55	Facility		$773.55	$773.55	$773.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.53 / $845.41 / $1,200.83	Professional		$771.53	$845.41	$1,200.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.92 / $1,498.90 / $2,104.98	Facility		$1,294.92	$1,498.90	$2,104.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,843.20	Professional		$1,094.20	$1,094.20	$1,843.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,923.06 / $1,936.59 / $2,757.54	Professional		$1,923.06	$1,936.59	$2,757.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,003.56 / $2,104.98 / $2,104.98	Professional		$2,003.56	$2,104.98	$2,104.98
United Facility/Professional Professional Modifier Low / Median / High Price $945.14 / $1,061.60 / $2,104.98	Professional		$945.14	$1,061.60	$2,104.98