Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,584.89	Facility		$1,000.00	$1,230.27	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $724.44 / $851.14	Professional		$154.88	$724.44	$851.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $11,481.54 / $25,118.86	Facility		$302.00	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00