Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.70 / $5,982.00 / $11,298.00	Facility		$862.70	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.70 / $1,143.55 / $1,878.80	Professional		$862.70	$1,143.55	$1,878.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.34 / $1,628.64 / $3,572.27	Professional		$953.34	$1,628.64	$3,572.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.98 / $1,653.71 / $1,969.87	Professional		$1,217.98	$1,653.71	$1,969.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.67 / $1,172.92 / $2,327.44	Professional		$874.67	$1,172.92	$2,327.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,317.00 / $4,135.00 / $9,934.00	Facility		$1,317.00	$4,135.00	$9,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $792.57 / $1,200.60 / $2,511.67	Professional		$792.57	$1,200.60	$2,511.67