Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.90 / $5,982.00 / $10,871.00	Facility		$825.90	$5,982.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.90 / $1,013.81 / $1,748.82	Professional		$825.90	$1,013.81	$1,748.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.57 / $1,416.81 / $3,145.47	Professional		$968.57	$1,416.81	$3,145.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $956.29 / $1,321.78 / $1,652.85	Professional		$956.29	$1,321.78	$1,652.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,615.29 / $5,800.66 / $14,131.76	Facility		$5,615.29	$5,800.66	$14,131.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.75 / $1,231.25 / $2,671.66	Professional		$933.75	$1,231.25	$2,671.66
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 $800.51 / $1,240.27 / $3,085.80	Professional		$800.51	$1,240.27	$3,085.80