Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.87 / $6,986.00 / $13,413.00	Facility		$816.87	$6,986.00	$13,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.43 / $827.02 / $1,428.77	Professional		$727.43	$827.02	$1,428.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.43 / $1,173.83 / $2,575.55	Professional		$824.43	$1,173.83	$2,575.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $773.43 / $1,207.21 / $1,340.46	Professional		$773.43	$1,207.21	$1,340.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $13,014.26 / $29,209.37	Facility		$11,606.42	$13,014.26	$29,209.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.24 / $1,017.62 / $2,096.56	Professional		$683.24	$1,017.62	$2,096.56
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 $684.96 / $1,078.58 / $2,522.92	Professional		$684.96	$1,078.58	$2,522.92