Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.76 / $6,396.00 / $12,384.00	Facility		$974.76	$6,396.00	$12,384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.76 / $974.76 / $1,842.00	Professional		$974.76	$974.76	$1,842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.33 / $1,953.87 / $6,513.17	Professional		$1,516.33	$1,953.87	$6,513.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,302.82 / $2,562.75 / $3,562.98	Professional		$2,302.82	$2,562.75	$3,562.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,571.00 / $9,571.00 / $9,571.00	Facility		$9,571.00	$9,571.00	$9,571.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,553.17 / $1,871.40 / $3,348.65	Professional		$1,553.17	$1,871.40	$3,348.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,846.00 / $7,273.00 / $10,536.00	Facility		$1,846.00	$7,273.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.26 / $2,372.80 / $5,797.83	Professional		$1,222.26	$2,372.80	$5,797.83