Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.65 / $5,982.00 / $11,298.00	Facility		$1,042.65	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.65 / $1,568.11 / $2,502.73	Professional		$1,042.65	$1,568.11	$2,502.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.18 / $2,221.44 / $4,828.74	Professional		$1,319.18	$2,221.44	$4,828.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,760.97 / $2,277.30 / $2,755.64	Professional		$1,760.97	$2,277.30	$2,755.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,199.85 / $1,538.64 / $2,905.61	Professional		$1,199.85	$1,538.64	$2,905.61
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 $1,004.08 / $1,582.86 / $3,335.37	Professional		$1,004.08	$1,582.86	$3,335.37