Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.27 / $6,438.00 / $11,332.00	Facility		$971.27	$6,438.00	$11,332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.53 / $965.83 / $1,634.46	Professional		$828.53	$965.83	$1,634.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.37 / $1,352.84 / $2,738.70	Professional		$941.37	$1,352.84	$2,738.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $939.78 / $1,421.04 / $1,599.50	Professional		$939.78	$1,421.04	$1,599.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,014.26 / $13,851.67 / $27,428.23	Facility		$13,014.26	$13,851.67	$27,428.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.04 / $1,144.65 / $2,279.78	Professional		$797.04	$1,144.65	$2,279.78
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 $780.98 / $1,145.58 / $2,863.66	Professional		$780.98	$1,145.58	$2,863.66