Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.75 / $5,982.00 / $10,871.00	Facility		$1,011.75	$5,982.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.84 / $1,011.75 / $1,707.61	Professional		$876.84	$1,011.75	$1,707.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.09 / $1,445.31 / $3,032.26	Professional		$1,027.09	$1,445.31	$3,032.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $986.94 / $1,522.99 / $1,706.22	Professional		$986.94	$1,522.99	$1,706.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,478.58 / $17,367.83 / $35,273.11	Facility		$14,478.58	$17,367.83	$35,273.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.82 / $1,282.09 / $2,598.89	Professional		$929.82	$1,282.09	$2,598.89
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 $870.73 / $1,359.02 / $3,062.83	Professional		$870.73	$1,359.02	$3,062.83