Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.16 / $4,540.00 / $10,871.00	Facility		$920.16	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.16 / $1,058.17 / $1,775.12	Professional		$920.16	$1,058.17	$1,775.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.06 / $1,374.18 / $2,759.46	Professional		$863.06	$1,374.18	$2,759.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.33 / $1,646.93 / $1,986.76	Professional		$1,140.33	$1,646.93	$1,986.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.48 / $1,246.53 / $2,105.81	Professional		$868.48	$1,246.53	$2,105.81
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 $718.25 / $1,111.92 / $2,323.69	Professional		$718.25	$1,111.92	$2,323.69