Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.74 / $4,540.00 / $10,692.00	Facility		$1,610.74	$4,540.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.74 / $1,841.14 / $3,089.23	Professional		$1,610.74	$1,841.14	$3,089.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.37 / $2,379.50 / $4,832.53	Professional		$1,388.37	$2,379.50	$4,832.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,821.18 / $2,658.58 / $3,260.53	Professional		$1,821.18	$2,658.58	$3,260.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,466.89 / $2,101.42 / $3,765.24	Professional		$1,466.89	$2,101.42	$3,765.24
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 $1,224.94 / $1,888.08 / $4,037.80	Professional		$1,224.94	$1,888.08	$4,037.80