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 $954.99 / $1,122.02 / $2,089.30	Professional		$954.99	$1,122.02	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $3,548.13	Professional		$954.99	$1,584.89	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,737.80	Professional		$1,122.02	$1,445.44	$1,737.80
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 $794.33 / $1,148.15 / $3,019.95	Professional		$794.33	$1,148.15	$3,019.95
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 $870.96 / $1,174.90 / $2,754.23	Professional		$870.96	$1,174.90	$2,754.23