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 $954.99 / $1,096.48 / $2,570.40	Professional		$954.99	$1,096.48	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $3,548.13	Professional		$891.25	$1,479.11	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,737.80	Professional		$977.24	$1,318.26	$1,737.80
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 $831.76 / $1,174.90 / $2,511.89	Professional		$831.76	$1,174.90	$2,511.89
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 $691.83 / $1,023.29 / $2,238.72	Professional		$691.83	$1,023.29	$2,238.72