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 $1,047.13 / $1,230.27 / $2,344.23	Professional		$1,047.13	$1,230.27	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $3,890.45	Professional		$1,047.13	$1,659.59	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,905.46	Professional		$1,230.27	$1,584.89	$1,905.46
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 $870.96 / $1,230.27 / $2,884.03	Professional		$870.96	$1,230.27	$2,884.03
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 $977.24 / $1,288.25 / $2,884.03	Professional		$977.24	$1,288.25	$2,884.03