Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.34 / $6,064.00 / $10,871.00	Facility		$1,039.34	$6,064.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.28 / $824.44 / $1,505.76	Professional		$674.28	$824.44	$1,505.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.39 / $1,250.80 / $2,693.68	Professional		$610.39	$1,250.80	$2,693.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.03 / $1,369.90 / $1,613.55	Professional		$1,003.03	$1,369.90	$1,613.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,924.40 / $7,652.20 / $16,593.68	Facility		$6,924.40	$7,652.20	$16,593.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.42 / $972.95 / $1,870.53	Professional		$686.42	$972.95	$1,870.53
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.04 / $848.26 / $1,847.63	Professional		$647.04	$848.26	$1,847.63