Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.49 / $5,975.00 / $10,692.00	Facility		$881.49	$5,975.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.72 / $875.07 / $1,423.02	Professional		$764.72	$875.07	$1,423.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.84 / $1,259.27 / $2,640.63	Professional		$819.84	$1,259.27	$2,640.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $772.86 / $1,267.42 / $1,363.90	Professional		$772.86	$1,267.42	$1,363.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $13,180.88 / $27,428.23	Facility		$11,606.42	$13,180.88	$27,428.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.99 / $1,048.61 / $2,152.26	Professional		$730.99	$1,048.61	$2,152.26
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 $723.15 / $1,062.33 / $2,471.11	Professional		$723.15	$1,062.33	$2,471.11