Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $6,312.59	Facility		$3,947.40	$3,947.40	$6,312.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,854.52 / $3,947.40	Professional		$3,715.20	$3,854.52	$3,947.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,295.04 / $4,148.96 / $13,785.00	Facility		$3,295.04	$4,148.96	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $7,702.91	Professional		$3,947.40	$3,947.40	$7,702.91
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,421.09	Professional		$3,870.00	$3,870.00	$4,421.09