Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.34 / $6,628.00 / $11,798.00	Facility		$980.34	$6,628.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.90 / $973.95 / $1,608.49	Professional		$815.90	$973.95	$1,608.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.62 / $1,380.52 / $2,882.61	Professional		$938.62	$1,380.52	$2,882.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $873.35 / $1,483.58 / $1,521.61	Professional		$873.35	$1,483.58	$1,521.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,015.87 / $15,917.17 / $33,122.22	Facility		$14,015.87	$15,917.17	$33,122.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.43 / $1,163.11 / $2,334.15	Professional		$854.43	$1,163.11	$2,334.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,579.00 / $9,331.00 / $18,419.00	Facility		$4,579.00	$9,331.00	$18,419.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.21 / $1,125.91 / $2,784.54	Professional		$785.21	$1,125.91	$2,784.54