Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.85 / $4,540.00 / $10,871.00	Facility		$1,570.85	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.64 / $1,592.08 / $2,693.58	Professional		$1,435.64	$1,592.08	$2,693.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,334.31 / $2,204.79 / $4,146.03	Professional		$1,334.31	$2,204.79	$4,146.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.20 / $2,385.71 / $2,906.02	Professional		$1,673.20	$2,385.71	$2,906.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,249.85 / $1,828.18 / $3,405.93	Professional		$1,249.85	$1,828.18	$3,405.93
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 $1,127.38 / $1,689.20 / $3,530.83	Professional		$1,127.38	$1,689.20	$3,530.83