Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.98 / $6,396.00 / $11,298.00	Facility		$876.98	$6,396.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.94 / $876.98 / $1,472.11	Professional		$744.94	$876.98	$1,472.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.45 / $1,252.83 / $2,641.16	Professional		$857.45	$1,252.83	$2,641.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.41 / $1,386.84 / $1,404.37	Professional		$1,036.41	$1,386.84	$1,404.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,229.42 / $7,888.29 / $16,020.69	Facility		$7,229.42	$7,888.29	$16,020.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.67 / $1,068.16 / $2,134.78	Professional		$784.67	$1,068.16	$2,134.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.36 / $1,107.90 / $2,587.03	Professional		$731.36	$1,107.90	$2,587.03