Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.45 / $6,628.00 / $11,798.00	Facility		$753.45	$6,628.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.75 / $747.62 / $1,220.14	Professional		$653.75	$747.62	$1,220.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.54 / $1,069.99 / $2,245.75	Professional		$743.54	$1,069.99	$2,245.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $700.78 / $1,159.88 / $1,218.29	Professional		$700.78	$1,159.88	$1,218.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,180.88 / $14,382.16 / $27,428.23	Facility		$13,180.88	$14,382.16	$27,428.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.66 / $933.33 / $1,908.50	Professional		$649.66	$933.33	$1,908.50
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 $628.11 / $944.16 / $2,339.15	Professional		$628.11	$944.16	$2,339.15