Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.92 / $712.92 / $712.92	Facility		$712.92	$712.92	$712.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.92 / $866.35 / $1,237.16	Professional		$712.92	$866.35	$1,237.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,067.51 / $1,254.96 / $1,939.99	Facility		$1,067.51	$1,254.96	$1,939.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,698.72	Professional		$916.12	$916.12	$1,698.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,772.32 / $1,784.79 / $2,541.39	Professional		$1,772.32	$1,784.79	$2,541.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,894.52 / $1,939.99 / $1,939.99	Professional		$1,894.52	$1,939.99	$1,939.99
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $874.75 / $1,157.42 / $1,939.99	Professional		$874.75	$1,157.42	$1,939.99