Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,772.37 / $14,125.38	Facility		$4,466.84	$9,772.37	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $2,691.53	Professional		$776.25	$912.01	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,630.27	Professional		$812.83	$1,230.27	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,513.56	Professional		$870.96	$1,174.90	$1,513.56
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 $741.31 / $1,096.48 / $2,238.72	Professional		$741.31	$1,096.48	$2,238.72
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 / $1,096.48 / $1,949.84	Professional		$812.83	$1,096.48	$1,949.84