Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,276.20 / $3,276.20 / $3,276.20	Facility		$3,276.20	$3,276.20	$3,276.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,639.04 / $3,276.20 / $5,228.87	Professional		$2,639.04	$3,276.20	$5,228.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.00 / $200.00	Facility		$100.00	$177.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $3,344.98 / $8,118.75	Professional		$462.00	$3,344.98	$8,118.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11,628.00 / $11,628.00 / $11,628.00	Professional		$11,628.00	$11,628.00	$11,628.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,118.96 / $4,118.96 / $4,118.96	Professional		$4,118.96	$4,118.96	$4,118.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,416.50 / $3,073.46 / $4,612.14	Professional		$2,416.50	$3,073.46	$4,612.14