Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.76 / $6,986.00 / $11,798.00	Facility		$1,103.76	$6,986.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.89 / $907.54 / $1,738.82	Professional		$798.89	$907.54	$1,738.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.73 / $1,379.86 / $2,760.76	Professional		$708.73	$1,379.86	$2,760.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.76 / $1,580.78 / $1,856.21	Professional		$1,153.76	$1,580.78	$1,856.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,382.16 / $14,382.16 / $29,209.37	Facility		$14,382.16	$14,382.16	$29,209.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.11 / $1,042.95 / $1,752.86	Professional		$785.11	$1,042.95	$1,752.86
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 $744.01 / $997.88 / $2,087.13	Professional		$744.01	$997.88	$2,087.13