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 $977.24 / $1,174.90 / $2,398.83	Professional		$977.24	$1,174.90	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $3,630.78	Professional		$977.24	$1,621.81	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,778.28	Professional		$1,148.15	$1,479.11	$1,778.28
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 $812.83 / $1,148.15 / $2,818.38	Professional		$812.83	$1,148.15	$2,818.38
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 $891.25 / $1,202.26 / $2,818.38	Professional		$891.25	$1,202.26	$2,818.38