Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,099.41 / $4,540.00 / $10,871.00	Facility		$2,099.41	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,099.41 / $2,491.21 / $4,348.49	Professional		$2,099.41	$2,491.21	$4,348.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,847.51 / $3,204.94 / $6,293.11	Professional		$1,847.51	$3,204.94	$6,293.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,997.11 / $3,889.73 / $4,695.95	Professional		$2,997.11	$3,889.73	$4,695.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,042.64 / $2,923.32 / $4,831.64	Professional		$2,042.64	$2,923.32	$4,831.64
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 $1,664.21 / $2,481.98 / $5,368.83	Professional		$1,664.21	$2,481.98	$5,368.83