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 $891.25 / $1,071.52 / $2,089.30	Professional		$891.25	$1,071.52	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $3,090.30	Professional		$891.25	$1,445.44	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,778.28	Professional		$1,000.00	$1,348.96	$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 $3,311.31 / $7,413.10 / $15,135.61	Facility		$3,311.31	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,238.72	Professional		$933.25	$1,288.25	$2,238.72