Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.60 / $3,888.00 / $18,532.80	Facility		$1,505.60	$3,888.00	$18,532.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.60 / $2,414.64 / $3,240.00	Professional		$1,505.60	$2,414.64	$3,240.00
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 $1,819.21 / $3,359.96 / $5,837.66	Professional		$1,819.21	$3,359.96	$5,837.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,268.00 / $3,402.00 / $4,698.00	Professional		$2,268.00	$3,402.00	$4,698.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $13,785.00 / $13,785.00	Facility		$3,240.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,278.33 / $1,944.00 / $3,240.00	Professional		$1,278.33	$1,944.00	$3,240.00