Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.45 / $6,628.00 / $11,798.00	Facility		$904.45	$6,628.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.53 / $904.45 / $1,513.08	Professional		$762.53	$904.45	$1,513.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.74 / $1,276.60 / $2,715.10	Professional		$885.74	$1,276.60	$2,715.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $825.50 / $1,335.82 / $1,444.27	Professional		$825.50	$1,335.82	$1,444.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,715.96 / $15,917.17 / $30,824.83	Facility		$15,715.96	$15,917.17	$30,824.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.73 / $1,101.21 / $2,122.53	Professional		$806.73	$1,101.21	$2,122.53
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 $748.41 / $1,082.27 / $2,660.17	Professional		$748.41	$1,082.27	$2,660.17