Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,454.71 / $11,220.18	Facility		$2,398.83	$2,454.71	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,862.09	Professional		$1,122.02	$1,513.56	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,073.80 / $4,073.80	Facility		$1,819.70	$4,073.80	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $4,073.80	Professional		$1,949.84	$2,454.71	$4,073.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $3,890.45	Facility		$1,122.02	$1,862.09	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,949.84	Professional		$741.31	$1,122.02	$1,949.84