Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,737.80	Professional		$1,445.44	$1,445.44	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,187.76	Facility		$1,380.38	$1,698.24	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,584.89	Professional		$1,445.44	$1,445.44	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $2,187.76 / $2,570.40	Professional		$154.88	$2,187.76	$2,570.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $11,481.54 / $25,118.86	Facility		$1,659.59	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,513.56 / $2,511.89	Professional		$125.89	$1,513.56	$2,511.89