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 $2,137.96 / $2,630.27 / $4,897.79	Professional		$2,137.96	$2,630.27	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $8,317.64	Professional		$2,238.72	$3,388.44	$8,317.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $4,073.80	Professional		$2,630.27	$3,388.44	$4,073.80
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 $1,862.09 / $2,570.40 / $6,025.60	Professional		$1,862.09	$2,570.40	$6,025.60
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 $2,041.74 / $2,691.53 / $6,025.60	Professional		$2,041.74	$2,691.53	$6,025.60