Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.70 / $4,540.00 / $10,871.00	Facility		$1,331.70	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.70 / $1,520.78 / $2,546.96	Professional		$1,331.70	$1,520.78	$2,546.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.90 / $1,984.16 / $3,948.62	Professional		$1,144.90	$1,984.16	$3,948.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.38 / $2,355.53 / $2,852.99	Professional		$1,641.38	$2,355.53	$2,852.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.53 / $1,773.71 / $3,300.81	Professional		$1,215.53	$1,773.71	$3,300.81
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 $1,020.95 / $1,620.42 / $3,333.35	Professional		$1,020.95	$1,620.42	$3,333.35