Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.83 / $4,540.00 / $9,784.00	Facility		$767.83	$4,540.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.47 / $809.11 / $1,315.56	Professional		$701.47	$809.11	$1,315.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.18 / $1,159.28 / $2,884.78	Professional		$784.18	$1,159.28	$2,884.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $814.58 / $1,192.72 / $1,476.73	Professional		$814.58	$1,192.72	$1,476.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,138.04 / $7,597.35 / $14,000.33	Facility		$7,138.04	$7,597.35	$14,000.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.95 / $1,014.06 / $2,145.12	Professional		$740.95	$1,014.06	$2,145.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.12 / $1,064.76 / $2,634.97	Professional		$700.12	$1,064.76	$2,634.97