Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,466.78	Professional		$1,452.25	$1,452.25	$1,466.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.04 / $262.76 / $1,452.25	Facility		$203.04	$262.76	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,507.05	Professional		$1,452.25	$1,452.25	$1,507.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,370.05 / $1,452.25 / $2,154.40	Professional		$1,370.05	$1,452.25	$2,154.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.87 / $1,644.99 / $1,644.99	Professional		$238.87	$1,644.99	$1,644.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,779.66	Professional		$1,452.25	$1,452.25	$1,779.66