Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,795.75	Facility		$1,748.25	$1,748.25	$2,795.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,707.11 / $1,748.25	Professional		$1,645.41	$1,707.11	$1,748.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,559.34 / $1,748.25 / $2,017.97	Facility		$1,559.34	$1,748.25	$2,017.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.83 / $2,939.77 / $13,785.00	Facility		$1,380.83	$2,939.77	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.75 / $1,748.25 / $1,748.25	Professional		$843.75	$1,748.25	$1,748.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,818.88	Professional		$1,713.97	$1,713.97	$1,818.88