Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.58 / $6,396.00 / $11,260.00	Facility		$787.58	$6,396.00	$11,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.71 / $787.58 / $1,314.21	Professional		$671.71	$787.58	$1,314.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.33 / $1,125.11 / $2,421.32	Professional		$789.33	$1,125.11	$2,421.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $736.22 / $1,184.04 / $1,290.82	Professional		$736.22	$1,184.04	$1,290.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,367.83 / $17,367.83 / $33,122.22	Facility		$17,367.83	$17,367.83	$33,122.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.41 / $985.08 / $1,934.60	Professional		$719.41	$985.08	$1,934.60
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 $672.12 / $1,013.68 / $2,333.69	Professional		$672.12	$1,013.68	$2,333.69