Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.35 / $5,982.00 / $10,871.00	Facility		$1,250.35	$5,982.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.58 / $1,250.35 / $2,095.04	Professional		$1,051.58	$1,250.35	$2,095.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,210.78 / $1,757.34 / $3,907.33	Professional		$1,210.78	$1,757.34	$3,907.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.10 / $1,814.20 / $1,969.76	Professional		$1,127.10	$1,814.20	$1,969.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,244.46 / $28,306.58 / $59,657.57	Facility		$25,244.46	$28,306.58	$59,657.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.34 / $1,501.98 / $2,689.79	Professional		$1,103.34	$1,501.98	$2,689.79
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 $1,014.49 / $1,567.55 / $3,589.95	Professional		$1,014.49	$1,567.55	$3,589.95