Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $5,370.32	Facility		$1,445.44	$2,570.40	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $1,071.52	Professional		$851.14	$870.96	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,174.90	Facility		$912.01	$912.01	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $912.01	Professional		$776.25	$912.01	$912.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,311.31 / $14,791.08	Facility		$891.25	$3,311.31	$14,791.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,778.28	Facility		$707.95	$870.96	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $933.25	Professional		$891.25	$891.25	$933.25