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 / $3,801.89	Professional		$1,348.96	$1,621.81	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $5,128.61	Professional		$1,380.38	$2,187.76	$5,128.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,511.89	Professional		$1,659.59	$2,089.30	$2,511.89
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 $1,148.15 / $1,584.89 / $3,715.35	Professional		$1,148.15	$1,584.89	$3,715.35
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 $1,258.93 / $1,659.59 / $3,890.45	Professional		$1,258.93	$1,659.59	$3,890.45