Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.79 / $4,174.00 / $10,692.00	Facility		$1,033.79	$4,174.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.79 / $1,201.32 / $2,027.75	Professional		$1,033.79	$1,201.32	$2,027.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.09 / $1,564.95 / $3,124.36	Professional		$972.09	$1,564.95	$3,124.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.33 / $1,869.04 / $2,260.07	Professional		$1,299.33	$1,869.04	$2,260.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.08 / $1,383.40 / $2,369.15	Professional		$961.08	$1,383.40	$2,369.15
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 $787.23 / $1,254.95 / $2,622.91	Professional		$787.23	$1,254.95	$2,622.91