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 $1,621.81 / $2,041.74 / $6,309.57	Professional		$1,621.81	$2,041.74	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $6,606.93	Professional		$1,737.80	$2,691.53	$6,606.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $3,630.78	Professional		$2,089.30	$3,235.94	$3,630.78
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 $1,445.44 / $2,041.74 / $4,786.30	Professional		$1,445.44	$2,041.74	$4,786.30
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 $1,621.81 / $2,089.30 / $4,786.30	Professional		$1,621.81	$2,089.30	$4,786.30