Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,316.78 / $4,540.00 / $10,871.00	Facility		$2,316.78	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,305.52 / $2,542.73 / $4,300.83	Professional		$2,305.52	$2,542.73	$4,300.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,027.04 / $3,410.92 / $6,652.97	Professional		$2,027.04	$3,410.92	$6,652.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,740.72 / $3,933.05 / $4,767.39	Professional		$2,740.72	$3,933.05	$4,767.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,027.01 / $2,942.83 / $5,088.53	Professional		$2,027.01	$2,942.83	$5,088.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,627.00 / $6,590.00 / $10,536.00	Facility		$1,627.00	$6,590.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.87 / $2,807.61 / $5,541.46	Professional		$1,778.87	$2,807.61	$5,541.46