Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.27 / $6,396.00 / $11,298.00	Facility		$990.27	$6,396.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.53 / $981.78 / $1,637.67	Professional		$830.53	$981.78	$1,637.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.57 / $1,384.54 / $2,937.64	Professional		$958.57	$1,384.54	$2,937.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $892.60 / $1,458.89 / $1,557.29	Professional		$892.60	$1,458.89	$1,557.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,478.58 / $17,367.83 / $30,824.83	Facility		$14,478.58	$17,367.83	$30,824.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.72 / $1,182.85 / $2,281.25	Professional		$872.72	$1,182.85	$2,281.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,444.00 / $7,868.00 / $19,490.00	Facility		$3,444.00	$7,868.00	$19,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.05 / $1,233.44 / $2,878.88	Professional		$810.05	$1,233.44	$2,878.88