Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,712.54 / $4,540.00 / $10,692.00	Facility		$1,712.54	$4,540.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.54 / $1,941.32 / $3,235.02	Professional		$1,712.54	$1,941.32	$3,235.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.85 / $2,529.89 / $5,106.35	Professional		$1,461.85	$2,529.89	$5,106.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.69 / $2,793.85 / $3,426.27	Professional		$1,913.69	$2,793.85	$3,426.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,569.53 / $2,269.77 / $4,176.45	Professional		$1,569.53	$2,269.77	$4,176.45
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 $1,304.61 / $2,025.20 / $4,218.57	Professional		$1,304.61	$2,025.20	$4,218.57