Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.13 / $6,628.00 / $11,798.00	Facility		$1,262.13	$6,628.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.65 / $1,261.45 / $1,997.25	Professional		$1,093.65	$1,261.45	$1,997.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.41 / $1,771.46 / $3,791.64	Professional		$1,160.41	$1,771.46	$3,791.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.78 / $1,866.52 / $1,926.63	Professional		$1,096.78	$1,866.52	$1,926.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,989.59 / $13,014.26 / $31,187.56	Facility		$11,989.59	$13,014.26	$31,187.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.64 / $1,464.86 / $3,216.24	Professional		$1,003.64	$1,464.86	$3,216.24
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 $1,014.56 / $1,493.72 / $4,408.32	Professional		$1,014.56	$1,493.72	$4,408.32