Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $3,318.60 / $6,583.24	Facility		$2,698.05	$3,318.60	$6,583.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,967.86	Professional		$2,698.05	$2,698.05	$2,967.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,900.68 / $3,753.83	Facility		$2,698.05	$2,900.68	$3,753.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,799.87	Professional		$2,698.05	$2,698.05	$2,799.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,575.98 / $2,575.98 / $3,291.62	Professional		$2,575.98	$2,575.98	$3,291.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,494.95 / $8,702.00 / $13,785.00	Facility		$4,494.95	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,410.23 / $2,538.31 / $2,575.98	Professional		$2,410.23	$2,538.31	$2,575.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,846.44 / $3,188.47	Professional		$2,698.05	$2,846.44	$3,188.47