Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.69 / $5,975.00 / $10,692.00	Facility		$885.69	$5,975.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.09 / $885.63 / $1,447.50	Professional		$741.09	$885.63	$1,447.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.46 / $1,253.56 / $2,611.09	Professional		$852.46	$1,253.56	$2,611.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.03 / $1,332.95 / $1,386.10	Professional		$794.03	$1,332.95	$1,386.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,015.87 / $14,015.87 / $30,824.83	Facility		$14,015.87	$14,015.87	$30,824.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.09 / $1,033.07 / $2,223.42	Professional		$777.09	$1,033.07	$2,223.42
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.76 / $986.93 / $2,483.94	Professional		$718.76	$986.93	$2,483.94