Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.92 / $6,396.00 / $11,298.00	Facility		$1,076.92	$6,396.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.18 / $1,076.92 / $1,793.63	Professional		$904.18	$1,076.92	$1,793.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.02 / $1,523.25 / $3,285.71	Professional		$1,048.02	$1,523.25	$3,285.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $975.60 / $1,605.78 / $1,702.89	Professional		$975.60	$1,605.78	$1,702.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,244.46 / $25,244.46 / $55,519.64	Facility		$25,244.46	$25,244.46	$55,519.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.68 / $1,298.24 / $2,603.78	Professional		$953.68	$1,298.24	$2,603.78
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 $878.98 / $1,351.35 / $3,568.86	Professional		$878.98	$1,351.35	$3,568.86