Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.11 / $5,388.50 / $9,936.00	Facility		$459.11	$5,388.50	$9,936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $435.80 / $681.10	Professional		$377.68	$435.80	$681.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.24 / $625.07 / $1,284.65	Professional		$432.24	$625.07	$1,284.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $392.94 / $553.22 / $688.89	Professional		$392.94	$553.22	$688.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.82 / $3,939.13 / $7,512.32	Facility		$3,283.82	$3,939.13	$7,512.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.84 / $521.15 / $1,048.25	Professional		$382.84	$521.15	$1,048.25
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 $354.92 / $533.29 / $1,262.74	Professional		$354.92	$533.29	$1,262.74