Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.00 / $5,982.00 / $10,871.00	Facility		$876.00	$5,982.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.60 / $865.82 / $1,457.68	Professional		$741.60	$865.82	$1,457.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.23 / $1,251.44 / $2,629.44	Professional		$892.23	$1,251.44	$2,629.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $848.42 / $1,440.94 / $1,447.34	Professional		$848.42	$1,440.94	$1,447.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $6,365.87 / $7,888.29	Facility		$6,365.87	$6,365.87	$7,888.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.55 / $1,078.16 / $2,220.80	Professional		$794.55	$1,078.16	$2,220.80
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 $753.57 / $1,120.70 / $2,608.10	Professional		$753.57	$1,120.70	$2,608.10