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 / $1,995.26 / $3,715.35	Professional		$1,698.24	$1,995.26	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $6,309.57	Professional		$1,698.24	$2,691.53	$6,309.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,019.95	Professional		$1,949.84	$2,511.89	$3,019.95
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 $1,412.54 / $1,949.84 / $4,677.35	Professional		$1,412.54	$1,949.84	$4,677.35
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 $1,548.82 / $2,089.30 / $4,897.79	Professional		$1,548.82	$2,089.30	$4,897.79