Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,128.61 / $23,442.29	Facility		$5,011.87	$5,128.61	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $5,128.61	Professional		$2,344.23	$3,162.28	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $17,782.79	Facility		$4,466.84	$8,511.38	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $6,918.31	Professional		$2,187.76	$3,715.35	$6,918.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $7,413.10	Professional		$2,691.53	$4,073.80	$7,413.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $11,481.54 / $28,183.83	Facility		$138.04	$11,481.54	$28,183.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,890.45	Professional		$3,090.30	$3,090.30	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $7,943.28	Facility		$1,819.70	$3,890.45	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,073.80	Professional		$1,548.82	$2,344.23	$4,073.80