Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.28 / $6,064.00 / $10,871.00	Facility		$1,157.28	$6,064.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.33 / $918.34 / $1,485.03	Professional		$745.33	$918.34	$1,485.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.05 / $1,123.13 / $2,687.36	Professional		$729.05	$1,123.13	$2,687.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $805.10 / $1,084.24 / $2,550.55	Professional		$805.10	$1,084.24	$2,550.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,728.33 / $5,671.88 / $11,519.32	Facility		$4,728.33	$5,671.88	$11,519.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.26 / $1,010.69 / $1,510.28	Professional		$760.26	$1,010.69	$1,510.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.25 / $925.08 / $1,786.19	Professional		$737.25	$925.08	$1,786.19