Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.61 / $5,982.00 / $11,298.00	Facility		$1,344.61	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.86 / $1,344.61 / $1,454.86	Professional		$1,164.86	$1,344.61	$1,454.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.07 / $1,855.15 / $3,850.57	Professional		$1,179.07	$1,855.15	$3,850.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.91 / $2,005.62 / $2,232.00	Professional		$1,820.91	$2,005.62	$2,232.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.82 / $1,239.18 / $2,344.02	Professional		$978.82	$1,239.18	$2,344.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,846.00 / $7,273.00 / $10,536.00	Facility		$1,846.00	$7,273.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.46 / $1,445.82 / $3,496.63	Professional		$1,083.46	$1,445.82	$3,496.63