Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,737.80	Professional		$1,380.38	$1,380.38	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,089.30	Facility		$1,318.26	$1,621.81	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,513.56	Professional		$1,380.38	$1,380.38	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,698.24 / $1,995.26	Professional		$154.88	$1,698.24	$1,995.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $11,481.54 / $26,302.68	Facility		$562.34	$11,481.54	$26,302.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,445.44 / $1,949.84	Professional		$125.89	$1,445.44	$1,949.84