Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,249.66	Professional		$1,237.28	$1,237.28	$1,249.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.90 / $521.40 / $1,237.28	Facility		$402.90	$521.40	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,366.41	Professional		$1,237.28	$1,237.28	$1,366.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.25 / $1,237.28 / $1,580.46	Professional		$1,167.25	$1,237.28	$1,580.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,055.97 / $13,785.00 / $13,785.00	Facility		$1,055.97	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.97 / $1,055.97 / $1,463.27	Professional		$1,055.97	$1,055.97	$1,463.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.97 / $1,237.28 / $1,361.01	Professional		$1,055.97	$1,237.28	$1,361.01