Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.63 / $6,628.00 / $11,298.00	Facility		$1,006.63	$6,628.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.63 / $1,214.78 / $2,462.98	Professional		$1,006.63	$1,214.78	$2,462.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.68 / $1,863.24 / $3,833.65	Professional		$1,007.68	$1,863.24	$3,833.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,644.70 / $2,244.63 / $2,632.47	Professional		$1,644.70	$2,244.63	$2,632.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,180.88 / $14,382.16 / $31,187.56	Facility		$13,180.88	$14,382.16	$31,187.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,140.93 / $1,498.33 / $2,434.88	Professional		$1,140.93	$1,498.33	$2,434.88
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 $1,005.71 / $1,404.57 / $3,071.04	Professional		$1,005.71	$1,404.57	$3,071.04