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 $1,380.38 / $1,659.59 / $3,090.30	Professional		$1,380.38	$1,659.59	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $5,248.07	Professional		$1,380.38	$2,290.87	$5,248.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,511.89	Professional		$1,659.59	$2,137.96	$2,511.89
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 $1,174.90 / $1,698.24 / $3,630.78	Professional		$1,174.90	$1,698.24	$3,630.78
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 $1,288.25 / $1,737.80 / $3,801.89	Professional		$1,288.25	$1,737.80	$3,801.89