Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.34 / $1,190.34 / $1,190.34	Facility		$1,190.34	$1,190.34	$1,190.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.85 / $1,064.91 / $1,248.43	Professional		$860.85	$1,064.91	$1,248.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $878.38 / $1,154.90 / $5,637.66	Facility		$878.38	$1,154.90	$5,637.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.70 / $1,482.00 / $2,690.78	Professional		$824.70	$1,482.00	$2,690.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,216.60 / $2,849.92 / $4,216.07	Professional		$2,216.60	$2,849.92	$4,216.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,996.10 / $2,266.88 / $4,717.18	Facility		$1,996.10	$2,266.88	$4,717.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $218.71 / $1,055.83	Professional		$172.75	$218.71	$1,055.83
United Facility/Professional Professional Modifier Low / Median / High Price $672.66 / $1,592.44 / $3,033.33	Professional		$672.66	$1,592.44	$3,033.33