Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.28 / $1,203.28 / $1,203.28	Facility		$1,203.28	$1,203.28	$1,203.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.28 / $1,462.24 / $2,500.13	Professional		$1,203.28	$1,462.24	$2,500.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,886.18 / $2,694.60 / $3,274.36	Facility		$1,886.18	$2,694.60	$3,274.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $4,578.00	Professional		$1,967.06	$1,967.06	$4,578.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,991.37 / $3,012.41 / $4,289.41	Professional		$2,991.37	$3,012.41	$4,289.41
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,197.61 / $3,274.36 / $3,274.36	Professional		$3,197.61	$3,274.36	$3,274.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,476.42 / $1,881.79 / $3,274.36	Professional		$1,476.42	$1,881.79	$3,274.36