Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.60 / $4,540.00 / $10,871.00	Facility		$996.60	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.72 / $1,067.20 / $1,802.25	Professional		$964.72	$1,067.20	$1,802.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.96 / $1,414.93 / $2,812.81	Professional		$848.96	$1,414.93	$2,812.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.05 / $1,636.89 / $1,979.39	Professional		$1,136.05	$1,636.89	$1,979.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.21 / $1,225.13 / $2,138.69	Professional		$843.21	$1,225.13	$2,138.69
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 $737.47 / $1,166.79 / $2,331.26	Professional		$737.47	$1,166.79	$2,331.26