Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.75 / $5,244.00 / $9,950.00	Facility		$802.75	$5,244.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.59 / $807.51 / $1,359.89	Professional		$709.59	$807.51	$1,359.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.03 / $1,146.79 / $2,487.17	Professional		$744.03	$1,146.79	$2,487.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $701.40 / $1,183.39 / $1,234.76	Professional		$701.40	$1,183.39	$1,234.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $11,989.59 / $31,187.56	Facility		$11,606.42	$11,989.59	$31,187.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.86 / $944.36 / $1,951.95	Professional		$662.86	$944.36	$1,951.95
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 $649.02 / $1,041.73 / $2,385.71	Professional		$649.02	$1,041.73	$2,385.71