Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.50 / $3,511.25 / $15,158.00	Facility		$1,404.50	$3,511.25	$15,158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.50 / $2,067.00 / $2,252.50	Professional		$1,404.50	$2,067.00	$2,252.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,590.38 / $3,352.25 / $8,938.54	Facility		$2,590.38	$3,352.25	$8,938.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,782.50 / $3,471.50 / $4,828.30	Professional		$2,782.50	$3,471.50	$4,828.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $2,650.00 / $8,702.00	Facility		$1,855.00	$2,650.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,855.00	Professional		$1,855.00	$1,855.00	$1,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.72 / $1,590.00 / $2,862.00	Professional		$1,099.72	$1,590.00	$2,862.00