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 $1,445.44 / $1,698.24 / $4,073.80	Professional		$1,445.44	$1,698.24	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $6,456.54	Professional		$1,513.56	$2,570.40	$6,456.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,090.30	Professional		$1,862.09	$2,511.89	$3,090.30
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 $1,445.44 / $1,905.46 / $6,606.93	Professional		$1,445.44	$1,905.46	$6,606.93
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 $1,412.54 / $1,995.26 / $3,801.89	Professional		$1,412.54	$1,995.26	$3,801.89