Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,584.89	Professional		$1,412.54	$1,412.54	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,137.96	Facility		$1,348.96	$1,659.59	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,548.82	Professional		$1,412.54	$1,412.54	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,258.93 / $1,479.11	Professional		$154.88	$1,258.93	$1,479.11
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 $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,230.27 / $1,479.11	Professional		$125.89	$1,230.27	$1,479.11