Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.33 / $4,540.00 / $10,871.00	Facility		$1,417.33	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.33 / $1,644.51 / $2,793.25	Professional		$1,417.33	$1,644.51	$2,793.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.73 / $2,149.86 / $4,304.70	Professional		$1,266.73	$2,149.86	$4,304.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,780.73 / $2,568.53 / $3,320.01	Professional		$1,780.73	$2,568.53	$3,320.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,358.67 / $1,937.73 / $3,579.08	Professional		$1,358.67	$1,937.73	$3,579.08
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 $1,089.25 / $1,802.13 / $3,898.24	Professional		$1,089.25	$1,802.13	$3,898.24