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 $1,174.90 / $1,380.38 / $2,570.40	Professional		$1,174.90	$1,380.38	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $4,365.16	Professional		$1,230.27	$1,949.84	$4,365.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,089.30	Professional		$1,348.96	$1,737.80	$2,089.30
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 $977.24 / $1,380.38 / $3,311.31	Professional		$977.24	$1,380.38	$3,311.31
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 $1,071.52 / $1,445.44 / $3,388.44	Professional		$1,071.52	$1,445.44	$3,388.44