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 $1,122.02 / $1,288.25 / $3,019.95	Professional		$1,122.02	$1,288.25	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $4,073.80	Professional		$1,000.00	$1,698.24	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,041.74	Professional		$1,122.02	$1,513.56	$2,041.74
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 $977.24 / $1,412.54 / $2,884.03	Professional		$977.24	$1,412.54	$2,884.03
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 $794.33 / $1,202.26 / $2,630.27	Professional		$794.33	$1,202.26	$2,630.27