Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.75 / $6,396.00 / $11,260.00	Facility		$852.75	$6,396.00	$11,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.75 / $1,046.98 / $2,194.04	Professional		$852.75	$1,046.98	$2,194.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.88 / $1,598.37 / $3,282.27	Professional		$882.88	$1,598.37	$3,282.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.31 / $1,955.96 / $2,286.57	Professional		$1,427.31	$1,955.96	$2,286.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $11,606.42 / $27,428.23	Facility		$11,606.42	$11,606.42	$27,428.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.64 / $1,298.33 / $2,102.01	Professional		$988.64	$1,298.33	$2,102.01
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 $829.52 / $1,191.14 / $2,522.82	Professional		$829.52	$1,191.14	$2,522.82