Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.08 / $4,540.00 / $10,692.00	Facility		$1,403.08	$4,540.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.08 / $1,576.76 / $2,678.09	Professional		$1,403.08	$1,576.76	$2,678.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.56 / $2,049.87 / $4,106.29	Professional		$1,181.56	$2,049.87	$4,106.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.74 / $2,304.81 / $2,826.44	Professional		$1,578.74	$2,304.81	$2,826.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,259.95 / $1,806.94 / $3,158.46	Professional		$1,259.95	$1,806.94	$3,158.46
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 $1,071.06 / $1,644.56 / $3,614.97	Professional		$1,071.06	$1,644.56	$3,614.97