Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.85 / $1,240.02 / $1,269.90	Professional		$1,030.85	$1,240.02	$1,269.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,643.40	Facility		$1,269.90	$1,269.90	$1,643.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.26 / $1,361.70 / $1,361.70	Professional		$302.26	$1,361.70	$1,361.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,329.66 / $13,785.00 / $13,785.00	Facility		$1,329.66	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,361.70 / $1,361.70 / $1,361.70	Professional		$1,361.70	$1,361.70	$1,361.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,346.09	Professional		$1,245.00	$1,245.00	$1,346.09