Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.67 / $6,985.00 / $13,413.00	Facility		$734.67	$6,985.00	$13,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.77 / $721.54 / $1,189.44	Professional		$625.77	$721.54	$1,189.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.21 / $1,019.78 / $2,054.44	Professional		$699.21	$1,019.78	$2,054.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $687.35 / $1,073.11 / $1,186.65	Professional		$687.35	$1,073.11	$1,186.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $11,606.42 / $25,525.77	Facility		$11,606.42	$11,606.42	$25,525.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.33 / $922.25 / $1,822.07	Professional		$629.33	$922.25	$1,822.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $597.92 / $831.79 / $2,241.63	Professional		$597.92	$831.79	$2,241.63