Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.88 / $4,468.00 / $9,784.00	Facility		$317.88	$4,468.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $830.27 / $1,386.92	Professional		$305.77	$830.27	$1,386.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.95 / $888.72 / $2,355.71	Professional		$299.95	$888.72	$2,355.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $601.05 / $1,786.46 / $2,067.29	Professional		$601.05	$1,786.46	$2,067.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,044.61 / $13,142.33 / $23,325.32	Facility		$12,044.61	$13,142.33	$23,325.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.05 / $1,013.66 / $1,637.86	Professional		$261.05	$1,013.66	$1,637.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.00 / $1,293.16 / $3,106.84	Professional		$962.00	$1,293.16	$3,106.84