Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,888.44 / $10,964.78	Facility		$2,691.53	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $426.58	Professional		$114.82	$204.17	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $501.19	Professional		$117.49	$218.78	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $436.52	Professional		$213.80	$281.84	$436.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,471.29 / $16,595.87	Facility		$6,760.83	$10,471.29	$16,595.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $213.80 / $426.58	Professional		$93.33	$213.80	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,128.61 / $9,120.11	Facility		$2,137.96	$5,128.61	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $346.74	Professional		$89.13	$162.18	$346.74