Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $6,867.13	Facility		$4,294.16	$4,294.16	$6,867.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,193.12 / $4,294.16	Professional		$4,041.56	$4,193.12	$4,294.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,976.07 / $4,294.16 / $5,145.50	Facility		$3,976.07	$4,294.16	$5,145.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,785.00 / $13,785.00 / $13,785.00	Facility		$13,785.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,785.10	Professional		$4,294.16	$4,294.16	$4,785.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,809.46	Professional		$4,209.96	$4,209.96	$4,809.46