Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.86 / $5,975.00 / $11,298.00	Facility		$990.86	$5,975.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $990.86 / $1,663.26	Professional		$836.74	$990.86	$1,663.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.86 / $1,392.70 / $2,974.28	Professional		$965.86	$1,392.70	$2,974.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $904.14 / $1,269.78 / $1,578.76	Professional		$904.14	$1,269.78	$1,578.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,478.58 / $33,122.22 / $37,661.98	Facility		$14,478.58	$33,122.22	$37,661.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $883.82 / $1,216.44 / $2,470.32	Professional		$883.82	$1,216.44	$2,470.32
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 $773.73 / $1,173.95 / $2,693.15	Professional		$773.73	$1,173.95	$2,693.15