Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.15 / $4,540.00 / $10,871.00	Facility		$1,207.15	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.15 / $1,377.36 / $2,321.39	Professional		$1,207.15	$1,377.36	$2,321.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.15 / $1,793.91 / $3,576.21	Professional		$1,071.15	$1,793.91	$3,576.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.60 / $2,134.01 / $2,582.92	Professional		$1,485.60	$2,134.01	$2,582.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.86 / $1,597.00 / $2,987.61	Professional		$1,099.86	$1,597.00	$2,987.61
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 $918.64 / $1,467.02 / $3,198.38	Professional		$918.64	$1,467.02	$3,198.38