Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.20 / $3,985.20 / $18,532.80	Facility		$1,717.20	$3,985.20	$18,532.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.20 / $2,559.60 / $2,754.00	Professional		$1,717.20	$2,559.60	$2,754.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,167.10 / $7,141.61 / $14,846.81	Facility		$3,167.10	$7,141.61	$14,846.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Professional		$2,592.00	$2,592.00	$2,592.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,402.00 / $4,244.39 / $5,903.28	Professional		$3,402.00	$4,244.39	$5,903.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,944.00 / $3,304.80	Professional		$1,296.00	$1,944.00	$3,304.80