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 $977.24 / $1,148.15 / $2,691.53	Professional		$977.24	$1,148.15	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $3,630.78	Professional		$891.25	$1,479.11	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,778.28	Professional		$1,000.00	$1,380.38	$1,778.28
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 $870.96 / $1,202.26 / $2,570.40	Professional		$870.96	$1,202.26	$2,570.40
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 $707.95 / $1,071.52 / $2,290.87	Professional		$707.95	$1,071.52	$2,290.87