Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.97 / $6,628.00 / $11,798.00	Facility		$819.97	$6,628.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.70 / $810.66 / $1,369.02	Professional		$689.70	$810.66	$1,369.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.03 / $1,151.08 / $2,360.71	Professional		$792.03	$1,151.08	$2,360.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $743.18 / $1,242.58 / $1,305.89	Professional		$743.18	$1,242.58	$1,305.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,080.94 / $36,080.94 / $85,266.27	Facility		$36,080.94	$36,080.94	$85,266.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $966.54 / $1,964.69	Professional		$730.80	$966.54	$1,964.69
United Facility/Professional Facility Modifier Low / Median / High Price $6,066.00 / $12,315.00 / $27,214.00	Facility		$6,066.00	$12,315.00	$27,214.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.96 / $970.69 / $2,408.02	Professional		$665.96	$970.69	$2,408.02