Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,778.28	Facility		$1,096.48	$1,380.38	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $389.05 / $457.09	Professional		$154.88	$389.05	$457.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $11,481.54 / $25,118.86	Facility		$562.34	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,023.29 / $1,202.26	Professional		$125.89	$1,023.29	$1,202.26