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 $1,659.59 / $1,905.46 / $4,466.84	Professional		$1,659.59	$1,905.46	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $6,025.60	Professional		$1,348.96	$2,570.40	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,019.95	Professional		$1,659.59	$2,290.87	$3,019.95
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 $1,479.11 / $2,187.76 / $4,365.16	Professional		$1,479.11	$2,187.76	$4,365.16
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 $1,202.26 / $1,778.28 / $3,890.45	Professional		$1,202.26	$1,778.28	$3,890.45