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 $2,137.96 / $2,511.89 / $6,025.60	Professional		$2,137.96	$2,511.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $10,000.00	Professional		$2,137.96	$3,801.89	$10,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,890.45	Professional		$2,187.76	$3,019.95	$3,890.45
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 $2,187.76 / $2,951.21 / $10,000.00	Professional		$2,187.76	$2,951.21	$10,000.00
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 $2,041.74 / $2,818.38 / $6,025.60	Professional		$2,041.74	$2,818.38	$6,025.60