Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.58 / $5,905.00 / $10,692.00	Facility		$405.58	$5,905.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.39 / $1,067.88 / $1,488.09	Professional		$310.39	$1,067.88	$1,488.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.54 / $948.46 / $2,798.15	Professional		$298.54	$948.46	$2,798.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $615.84 / $1,771.76 / $2,051.42	Professional		$615.84	$1,771.76	$2,051.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,044.61 / $14,942.46 / $26,691.35	Facility		$12,044.61	$14,942.46	$26,691.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.23 / $1,167.99 / $2,032.31	Professional		$268.23	$1,167.99	$2,032.31
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 $1,021.78 / $1,370.26 / $3,858.53	Professional		$1,021.78	$1,370.26	$3,858.53