Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.92 / $6,396.00 / $11,298.00	Facility		$727.92	$6,396.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.16 / $774.69 / $1,367.94	Professional		$606.16	$774.69	$1,367.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.43 / $1,135.68 / $2,228.44	Professional		$768.43	$1,135.68	$2,228.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,004.08 / $1,355.62 / $1,359.29	Professional		$1,004.08	$1,355.62	$1,359.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,888.29 / $14,000.33 / $17,105.68	Facility		$7,888.29	$14,000.33	$17,105.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.50 / $1,030.75 / $2,125.62	Professional		$760.50	$1,030.75	$2,125.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.30 / $1,003.46 / $2,425.00	Professional		$699.30	$1,003.46	$2,425.00