Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $10,715.19	Facility		$2,691.53	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $204.17 / $446.68	Professional		$72.44	$204.17	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $223.87 / $501.19	Professional		$83.18	$223.87	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $331.13 / $436.52	Professional		$120.23	$331.13	$436.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $4,677.35	Facility		$1,905.46	$2,951.21	$4,677.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $204.17 / $512.86	Professional		$58.88	$204.17	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $8,511.38	Facility		$2,089.30	$5,011.87	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $162.18 / $363.08	Professional		$60.26	$162.18	$363.08