Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.90 / $5,122.00 / $9,842.00	Facility		$792.90	$5,122.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.12 / $794.53 / $1,380.58	Professional		$688.12	$794.53	$1,380.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.78 / $1,141.84 / $2,447.06	Professional		$793.78	$1,141.84	$2,447.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $753.40 / $1,125.02 / $1,327.98	Professional		$753.40	$1,125.02	$1,327.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,478.58 / $15,715.96 / $17,367.83	Facility		$14,478.58	$15,715.96	$17,367.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.43 / $993.56 / $2,008.43	Professional		$737.43	$993.56	$2,008.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.48 / $970.82 / $2,426.14	Professional		$656.48	$970.82	$2,426.14