Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.46 / $5,982.00 / $11,298.00	Facility		$574.46	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.46 / $766.30 / $1,202.80	Professional		$574.46	$766.30	$1,202.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.79 / $1,082.50 / $2,267.02	Professional		$670.79	$1,082.50	$2,267.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $813.83 / $1,107.08 / $1,316.12	Professional		$813.83	$1,107.08	$1,316.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.37 / $798.73 / $1,442.75	Professional		$582.37	$798.73	$1,442.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.03 / $723.12 / $1,618.87	Professional		$486.03	$723.12	$1,618.87