Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,063.42	Professional		$1,052.89	$1,052.89	$1,063.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.36 / $336.94 / $1,052.89	Facility		$260.36	$336.94	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $993.29 / $1,052.89 / $1,344.91	Professional		$993.29	$1,052.89	$1,344.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.18 / $13,785.00 / $13,785.00	Facility		$300.18	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.62 / $300.18 / $300.18	Professional		$231.62	$300.18	$300.18
United Facility/Professional Professional Modifier Low / Median / High Price $997.27 / $1,052.89 / $1,110.80	Professional		$997.27	$1,052.89	$1,110.80