Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.83 / $4,540.00 / $9,784.00	Facility		$762.83	$4,540.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.98 / $781.47 / $1,249.46	Professional		$643.98	$781.47	$1,249.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.46 / $1,155.60 / $2,508.39	Professional		$698.46	$1,155.60	$2,508.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.18 / $1,250.08 / $1,276.83	Professional		$707.18	$1,250.08	$1,276.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,851.67 / $14,382.16 / $29,209.37	Facility		$13,851.67	$14,382.16	$29,209.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.41 / $954.94 / $1,886.79	Professional		$614.41	$954.94	$1,886.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.47 / $962.95 / $2,400.64	Professional		$669.47	$962.95	$2,400.64