Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.60 / $1,143.60 / $1,143.60	Facility		$1,143.60	$1,143.60	$1,143.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.60 / $1,289.68 / $1,995.69	Professional		$1,143.60	$1,289.68	$1,995.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $3,111.98	Facility		$1,769.18	$1,769.18	$3,111.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $2,724.96	Professional		$1,291.50	$1,291.50	$2,724.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,843.02 / $2,863.02 / $4,076.69	Professional		$2,843.02	$2,863.02	$4,076.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,039.04 / $3,111.98 / $3,111.98	Professional		$3,039.04	$3,111.98	$3,111.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,397.28 / $1,552.53 / $3,111.98	Professional		$1,397.28	$1,552.53	$3,111.98