Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $12,302.69	Facility		$4,466.84	$8,511.38	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $2,951.21	Professional		$831.76	$977.24	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $3,090.30	Professional		$776.25	$1,288.25	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,513.56	Professional		$851.14	$1,148.15	$1,513.56
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 $741.31 / $1,096.48 / $2,187.76	Professional		$741.31	$1,096.48	$2,187.76
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 $602.56 / $891.25 / $1,995.26	Professional		$602.56	$891.25	$1,995.26