Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.15 / $4,540.00 / $10,692.00	Facility		$1,166.15	$4,540.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.15 / $1,349.34 / $2,229.35	Professional		$1,166.15	$1,349.34	$2,229.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.02 / $1,774.13 / $3,572.57	Professional		$1,019.02	$1,774.13	$3,572.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.36 / $1,942.16 / $2,382.14	Professional		$1,330.36	$1,942.16	$2,382.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.78 / $1,515.59 / $2,717.32	Professional		$1,057.78	$1,515.59	$2,717.32
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 $876.55 / $1,366.71 / $3,073.72	Professional		$876.55	$1,366.71	$3,073.72