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 $794.33 / $954.99 / $2,691.53	Professional		$794.33	$954.99	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $3,311.31	Professional		$851.14	$1,348.96	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,548.82	Professional		$870.96	$1,122.02	$1,548.82
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 $831.76 / $1,202.26 / $3,630.78	Professional		$831.76	$1,202.26	$3,630.78
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 $575.44 / $1,047.13 / $2,089.30	Professional		$575.44	$1,047.13	$2,089.30