Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.09 / $5,982.00 / $11,298.00	Facility		$792.09	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.09 / $1,054.21 / $1,655.11	Professional		$792.09	$1,054.21	$1,655.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.19 / $1,522.85 / $3,121.30	Professional		$919.19	$1,522.85	$3,121.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.53 / $1,514.54 / $1,802.99	Professional		$1,114.53	$1,514.54	$1,802.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.60 / $1,074.28 / $1,983.30	Professional		$799.60	$1,074.28	$1,983.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,846.00 / $7,273.00 / $10,536.00	Facility		$1,846.00	$7,273.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.60 / $1,043.68 / $2,222.73	Professional		$711.60	$1,043.68	$2,222.73