Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,650.00 / $6,625.00 / $28,600.00	Facility		$2,650.00	$6,625.00	$28,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $4,000.00 / $4,750.00	Professional		$2,650.00	$4,000.00	$4,750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,887.50 / $6,325.00 / $16,865.40	Facility		$4,887.50	$6,325.00	$16,865.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $6,550.00 / $9,110.00	Professional		$3,500.00	$6,550.00	$9,110.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $8,702.00	Facility		$3,500.00	$3,500.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Professional		$3,500.00	$3,500.00	$3,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,074.94 / $3,000.00 / $5,100.00	Professional		$2,074.94	$3,000.00	$5,100.00