Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $10,715.19	Facility		$2,691.53	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $426.58	Professional		$100.00	$204.17	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $478.63	Professional		$104.71	$213.80	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $501.19	Professional		$213.80	$323.59	$501.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,120.11 / $13,803.84	Facility		$5,623.41	$9,120.11	$13,803.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $467.74	Professional		$83.18	$199.53	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,165.95 / $10,964.78	Facility		$2,884.03	$6,165.95	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $346.74	Professional		$79.43	$165.96	$346.74