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 $1,122.02 / $1,348.96 / $3,388.44	Professional		$1,122.02	$1,348.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $4,466.84	Professional		$1,174.90	$1,862.09	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,187.76	Professional		$1,412.54	$1,819.70	$2,187.76
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 $977.24 / $1,348.96 / $3,162.28	Professional		$977.24	$1,348.96	$3,162.28
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 $1,071.52 / $1,412.54 / $3,162.28	Professional		$1,071.52	$1,412.54	$3,162.28