Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.98 / $4,540.00 / $10,871.00	Facility		$1,645.98	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.98 / $1,873.62 / $3,140.64	Professional		$1,645.98	$1,873.62	$3,140.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,359.67 / $2,443.83 / $4,853.09	Professional		$1,359.67	$2,443.83	$4,853.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,020.90 / $2,897.09 / $3,511.38	Professional		$2,020.90	$2,897.09	$3,511.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,537.77 / $2,170.96 / $3,757.41	Professional		$1,537.77	$2,170.96	$3,757.41
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 $1,248.73 / $1,997.99 / $4,077.57	Professional		$1,248.73	$1,997.99	$4,077.57