Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $6,628.00 / $11,798.00	Facility		$875.94	$6,628.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.23 / $868.64 / $1,433.85	Professional		$733.23	$868.64	$1,433.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.42 / $1,237.45 / $2,574.19	Professional		$839.42	$1,237.45	$2,574.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $782.75 / $1,351.91 / $1,369.44	Professional		$782.75	$1,351.91	$1,369.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,478.58 / $15,715.96 / $30,824.83	Facility		$14,478.58	$15,715.96	$30,824.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.45 / $1,006.99 / $2,139.48	Professional		$765.45	$1,006.99	$2,139.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.88 / $1,026.58 / $2,523.73	Professional		$707.88	$1,026.58	$2,523.73