Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.35 / $957.35 / $957.35	Facility		$957.35	$957.35	$957.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.35 / $1,142.30 / $1,663.07	Professional		$957.35	$1,142.30	$1,663.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $2,605.12	Facility		$1,482.94	$1,482.94	$2,605.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $2,281.13	Professional		$1,260.50	$1,260.50	$2,281.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.96 / $2,396.71 / $3,412.71	Professional		$2,379.96	$2,396.71	$3,412.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,218.47 / $1,218.47 / $1,732.89	Professional		$1,218.47	$1,218.47	$1,732.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.99 / $1,370.44 / $2,391.63	Professional		$1,183.99	$1,370.44	$2,391.63