Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.30 / $804.30 / $804.30	Facility		$804.30	$804.30	$804.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.28 / $867.87 / $1,459.74	Professional		$760.28	$867.87	$1,459.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.88 / $1,473.53 / $2,188.67	Facility		$1,192.88	$1,473.53	$2,188.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,916.48	Professional		$1,075.68	$1,075.68	$1,916.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.52 / $2,013.58 / $2,867.16	Professional		$1,999.52	$2,013.58	$2,867.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.37 / $2,188.67 / $2,188.67	Professional		$2,137.37	$2,188.67	$2,188.67
United Facility/Professional Professional Modifier Low / Median / High Price $969.54 / $1,125.89 / $2,009.31	Professional		$969.54	$1,125.89	$2,009.31