Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.31 / $5,695.00 / $11,260.00	Facility		$484.31	$5,695.00	$11,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.31 / $611.32 / $855.68	Professional		$430.31	$611.32	$855.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.66 / $833.28 / $1,787.66	Professional		$511.66	$833.28	$1,787.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $722.65 / $1,092.59 / $1,256.66	Professional		$722.65	$1,092.59	$1,256.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,917.17 / $19,746.74 / $33,122.22	Facility		$15,917.17	$19,746.74	$33,122.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.62 / $669.77 / $1,365.01	Professional		$366.62	$669.77	$1,365.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.72 / $857.25 / $1,914.25	Professional		$567.72	$857.25	$1,914.25