Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.39 / $5,982.00 / $11,298.00	Facility		$646.39	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.39 / $1,013.90 / $1,626.35	Professional		$646.39	$1,013.90	$1,626.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.60 / $1,425.24 / $3,060.77	Professional		$865.60	$1,425.24	$3,060.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.54 / $1,513.86 / $1,817.13	Professional		$1,156.54	$1,513.86	$1,817.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.27 / $1,001.86 / $2,070.46	Professional		$781.27	$1,001.86	$2,070.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,592.00 / $4,731.00 / $9,513.00	Facility		$1,592.00	$4,731.00	$9,513.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.29 / $1,045.59 / $2,171.76	Professional		$647.29	$1,045.59	$2,171.76