Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,994.52 / $1,994.52 / $1,994.52	Facility		$1,994.52	$1,994.52	$1,994.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.52 / $2,123.96 / $3,211.02	Professional		$1,994.52	$2,123.96	$3,211.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,024.27 / $3,813.78 / $5,427.48	Facility		$3,024.27	$3,813.78	$5,427.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $2,784.06 / $4,752.49	Professional		$2,784.06	$2,784.06	$4,752.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,958.39 / $4,993.28 / $7,110.00	Professional		$4,958.39	$4,993.28	$7,110.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,300.27 / $5,427.48 / $5,427.48	Professional		$5,300.27	$5,427.48	$5,427.48
United Facility/Professional Professional Modifier Low / Median / High Price $2,436.92 / $2,707.70 / $5,427.48	Professional		$2,436.92	$2,707.70	$5,427.48