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 $1,096.48 / $1,479.11 / $3,467.37	Professional		$1,096.48	$1,479.11	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $5,754.40	Professional		$1,258.93	$2,137.96	$5,754.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,818.38	Professional		$1,659.59	$2,290.87	$2,818.38
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 $1,318.26 / $1,659.59 / $5,495.41	Professional		$1,318.26	$1,659.59	$5,495.41
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 $1,202.26 / $1,737.80 / $3,235.94	Professional		$1,202.26	$1,737.80	$3,235.94