Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.14 / $4,540.00 / $10,871.00	Facility		$1,213.14	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.14 / $1,409.82 / $2,394.94	Professional		$1,213.14	$1,409.82	$2,394.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.24 / $1,840.62 / $3,669.24	Professional		$1,103.24	$1,840.62	$3,669.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.48 / $2,187.21 / $2,647.30	Professional		$1,522.48	$2,187.21	$2,647.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,155.11 / $1,626.82 / $2,606.01	Professional		$1,155.11	$1,626.82	$2,606.01
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 $928.25 / $1,502.79 / $3,093.67	Professional		$928.25	$1,502.79	$3,093.67