Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $6,396.00 / $12,384.00	Facility		$1,273.00	$6,396.00	$12,384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.89 / $1,369.66 / $2,333.21	Professional		$1,203.89	$1,369.66	$2,333.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.68 / $1,793.54 / $3,575.79	Professional		$1,085.68	$1,793.54	$3,575.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.67 / $2,120.83 / $2,568.44	Professional		$1,477.67	$2,120.83	$2,568.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.08 / $1,584.50 / $2,715.68	Professional		$1,125.08	$1,584.50	$2,715.68
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 $917.17 / $1,447.41 / $3,010.56	Professional		$917.17	$1,447.41	$3,010.56