Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.69 / $5,982.00 / $10,871.00	Facility		$762.69	$5,982.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.47 / $866.98 / $1,506.48	Professional		$755.47	$866.98	$1,506.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.95 / $1,268.24 / $2,682.42	Professional		$865.95	$1,268.24	$2,682.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $824.10 / $1,349.81 / $1,399.83	Professional		$824.10	$1,349.81	$1,399.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,296.41 / $6,701.56 / $13,270.03	Facility		$6,296.41	$6,701.56	$13,270.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.37 / $1,092.50 / $2,234.28	Professional		$799.37	$1,092.50	$2,234.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.14 / $1,076.85 / $2,638.70	Professional		$716.14	$1,076.85	$2,638.70