Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.90 / $6,628.00 / $11,798.00	Facility		$876.90	$6,628.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.53 / $766.15 / $1,185.05	Professional		$650.53	$766.15	$1,185.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.85 / $1,107.83 / $2,215.85	Professional		$707.85	$1,107.83	$2,215.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $666.63 / $1,092.13 / $1,147.36	Professional		$666.63	$1,092.13	$1,147.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.40 / $857.00 / $1,918.22	Professional		$575.40	$857.00	$1,918.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.29 / $948.62 / $2,131.71	Professional		$621.29	$948.62	$2,131.71