Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,918.31 / $11,748.98	Facility		$4,365.16	$6,918.31	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,818.38	Professional		$1,047.13	$1,230.27	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $3,890.45	Professional		$977.24	$1,621.81	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,905.46	Professional		$1,071.52	$1,445.44	$1,905.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,754.23	Professional		$933.25	$1,318.26	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $10,471.29	Facility		$1,698.24	$5,888.44	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,511.89	Professional		$758.58	$1,122.02	$2,511.89