Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.19 / $5,647.00 / $26,240.00	Facility		$1,495.19	$5,647.00	$26,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,495.19 / $1,678.13 / $2,881.25	Professional		$1,495.19	$1,678.13	$2,881.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,322.34 / $2,223.71 / $4,423.55	Professional		$1,322.34	$2,223.71	$4,423.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,836.65 / $2,633.68 / $3,191.79	Professional		$1,836.65	$2,633.68	$3,191.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,361.95 / $1,964.32 / $3,361.97	Professional		$1,361.95	$1,964.32	$3,361.97
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 $1,156.82 / $1,816.33 / $4,001.79	Professional		$1,156.82	$1,816.33	$4,001.79