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 $1,148.15 / $1,318.26 / $3,090.30	Professional		$1,148.15	$1,318.26	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $4,168.69	Professional		$1,000.00	$1,737.80	$4,168.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,089.30	Professional		$1,148.15	$1,548.82	$2,089.30
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 $1,000.00 / $1,479.11 / $3,090.30	Professional		$1,000.00	$1,479.11	$3,090.30
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 $812.83 / $1,230.27 / $2,691.53	Professional		$812.83	$1,230.27	$2,691.53