Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $7,170.58	Facility		$4,483.93	$4,483.93	$7,170.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,378.42 / $4,483.93	Professional		$4,220.17	$4,378.42	$4,483.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,811.34 / $4,483.93 / $4,932.32	Facility		$3,811.34	$4,483.93	$4,932.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,563.89 / $2,563.89 / $2,563.89	Professional		$2,563.89	$2,563.89	$2,563.89
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $5,538.97	Professional		$5,275.21	$5,275.21	$5,538.97