Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,918.31 / $11,748.98	Facility		$4,365.16	$6,918.31	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,698.24	Professional		$616.60	$794.33	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,511.89	Professional		$724.44	$1,096.48	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,380.38	Professional		$794.33	$1,071.52	$1,380.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,819.70	Professional		$588.84	$891.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $10,471.29	Facility		$1,698.24	$5,888.44	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,479.11	Professional		$537.03	$724.44	$1,479.11