Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.57 / $950.57 / $950.57	Facility		$950.57	$950.57	$950.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $950.57	Professional		$872.08	$915.68	$950.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.11 / $872.08 / $959.29	Facility		$254.11	$872.08	$959.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $946.12 / $946.12	Professional		$872.08	$946.12	$946.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.12 / $946.12 / $946.12	Professional		$946.12	$946.12	$946.12
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $920.04	Professional		$872.08	$872.08	$920.04