Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.80 / $1,344.60 / $1,377.00	Professional		$1,117.80	$1,344.60	$1,377.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.42 / $1,377.00 / $1,479.72	Facility		$1,143.42	$1,377.00	$1,479.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.30 / $1,377.00 / $1,821.56	Professional		$1,239.30	$1,377.00	$1,821.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,344.60 / $13,785.00 / $13,785.00	Facility		$1,344.60	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $952.85 / $1,377.00 / $1,377.00	Professional		$952.85	$1,377.00	$1,377.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,275.75 / $1,350.00 / $1,485.00	Professional		$1,275.75	$1,350.00	$1,485.00