Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,812.22	Professional		$2,784.38	$2,784.38	$2,812.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $142.52 / $2,784.38	Facility		$110.13	$142.52	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,758.11 / $3,020.79 / $3,940.16	Professional		$2,758.11	$3,020.79	$3,940.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $13,785.00 / $13,785.00	Facility		$92.65	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $92.65 / $106.31	Professional		$92.65	$92.65	$106.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,341.26	Professional		$2,784.38	$2,784.38	$3,341.26