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 $1,698.24 / $2,089.30 / $3,890.45	Professional		$1,698.24	$2,089.30	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $6,760.83	Professional		$1,819.70	$2,884.03	$6,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,311.31	Professional		$2,137.96	$2,754.23	$3,311.31
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 $1,479.11 / $2,089.30 / $5,128.61	Professional		$1,479.11	$2,089.30	$5,128.61
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 $1,659.59 / $2,187.76 / $5,128.61	Professional		$1,659.59	$2,187.76	$5,128.61