Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.60 / $5,975.00 / $10,692.00	Facility		$808.60	$5,975.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.88 / $808.47 / $1,320.58	Professional		$692.88	$808.47	$1,320.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.52 / $1,143.23 / $2,397.67	Professional		$778.52	$1,143.23	$2,397.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.60 / $1,229.31 / $1,270.57	Professional		$725.60	$1,229.31	$1,270.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,367.83 / $17,367.83 / $19,746.74	Facility		$17,367.83	$17,367.83	$19,746.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.43 / $944.45 / $1,985.69	Professional		$710.43	$944.45	$1,985.69
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 $661.20 / $1,043.52 / $2,342.56	Professional		$661.20	$1,043.52	$2,342.56