Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.62 / $2,914.55 / $9,642.87	Facility		$2,194.62	$2,914.55	$9,642.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,845.97 / $2,914.55	Professional		$2,743.10	$2,845.97	$2,914.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $3,771.77	Facility		$2,914.55	$2,914.55	$3,771.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,656.24 / $4,755.74 / $13,785.00	Facility		$3,656.24	$4,755.74	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $3,942.07	Professional		$2,914.55	$2,914.55	$3,942.07
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $3,032.30	Professional		$2,857.40	$2,857.40	$3,032.30