Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,332.70 / $4,008.90 / $4,105.50	Professional		$3,332.70	$4,008.90	$4,105.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,474.80 / $4,105.50 / $4,496.80	Facility		$3,474.80	$4,105.50	$4,496.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,737.00 / $2,737.00 / $3,791.20	Professional		$2,737.00	$2,737.00	$3,791.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,672.60 / $13,785.00 / $13,785.00	Facility		$2,672.60	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,737.00 / $2,737.00 / $2,968.00	Professional		$2,737.00	$2,737.00	$2,968.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $4,200.00 / $4,431.00	Professional		$3,570.00	$4,200.00	$4,431.00