Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,918.31 / $11,748.98	Facility		$4,466.84	$6,918.31	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,041.74	Professional		$870.96	$1,071.52	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $3,548.13	Professional		$933.25	$1,513.56	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,584.89	Professional		$1,047.13	$1,318.26	$1,584.89
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 $776.25 / $1,047.13 / $2,511.89	Professional		$776.25	$1,047.13	$2,511.89
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 $851.14 / $1,148.15 / $2,630.27	Professional		$851.14	$1,148.15	$2,630.27