Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $10,715.19	Facility		$2,691.53	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $426.58	Professional		$93.33	$199.53	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,754.23 / $3,630.78	Facility		$165.96	$2,754.23	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $512.86	Professional		$107.15	$229.09	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $446.68	Professional		$194.98	$281.84	$446.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $4,677.35	Facility		$1,819.70	$2,884.03	$4,677.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.80 / $436.52	Professional		$77.62	$213.80	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $8,511.38	Facility		$2,089.30	$5,011.87	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $363.08	Professional		$75.86	$169.82	$363.08