Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.97 / $6,016.00 / $11,298.00	Facility		$927.97	$6,016.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.95 / $927.97 / $1,477.99	Professional		$784.95	$927.97	$1,477.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.95 / $1,295.17 / $2,786.09	Professional		$906.95	$1,295.17	$2,786.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $850.92 / $1,303.73 / $1,487.18	Professional		$850.92	$1,303.73	$1,487.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.99 / $1,125.85 / $2,236.01	Professional		$830.99	$1,125.85	$2,236.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $10,536.00 / $23,258.00	Facility		$4,980.00	$10,536.00	$23,258.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.08 / $1,164.18 / $2,740.56	Professional		$753.08	$1,164.18	$2,740.56