Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.22 / $4,540.00 / $10,692.00	Facility		$1,563.22	$4,540.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.22 / $1,808.56 / $3,060.75	Professional		$1,563.22	$1,808.56	$3,060.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.04 / $2,365.10 / $4,703.09	Professional		$1,407.04	$2,365.10	$4,703.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.03 / $2,798.78 / $3,391.82	Professional		$1,952.03	$2,798.78	$3,391.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,481.98 / $2,123.94 / $3,617.06	Professional		$1,481.98	$2,123.94	$3,617.06
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 $1,210.09 / $1,962.95 / $4,196.37	Professional		$1,210.09	$1,962.95	$4,196.37