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 $1,348.96 / $1,621.81 / $3,090.30	Professional		$1,348.96	$1,621.81	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $5,370.32	Professional		$1,412.54	$2,238.72	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,630.27	Professional		$1,698.24	$2,187.76	$2,630.27
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 $1,174.90 / $1,621.81 / $3,801.89	Professional		$1,174.90	$1,621.81	$3,801.89
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 $1,288.25 / $1,698.24 / $3,890.45	Professional		$1,288.25	$1,698.24	$3,890.45