Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.52 / $6,180.00 / $11,332.00	Facility		$923.52	$6,180.00	$11,332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.56 / $911.66 / $1,526.15	Professional		$774.56	$911.66	$1,526.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.29 / $1,309.25 / $2,737.05	Professional		$895.29	$1,309.25	$2,737.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $833.89 / $1,386.97 / $1,455.78	Professional		$833.89	$1,386.97	$1,455.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,367.83 / $30,824.83 / $35,273.11	Facility		$17,367.83	$30,824.83	$35,273.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.96 / $1,094.04 / $2,321.39	Professional		$813.96	$1,094.04	$2,321.39
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 $738.47 / $1,092.76 / $2,646.41	Professional		$738.47	$1,092.76	$2,646.41