Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.64 / $5,644.00 / $9,842.00	Facility		$281.64	$5,644.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.44 / $1,871.36 / $3,140.94	Professional		$214.44	$1,871.36	$3,140.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.14 / $741.27 / $6,696.87	Professional		$267.14	$741.27	$6,696.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $395.10 / $3,106.54 / $3,559.24	Professional		$395.10	$3,106.54	$3,559.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,044.61 / $13,142.33 / $26,691.35	Facility		$12,044.61	$13,142.33	$26,691.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.44 / $2,228.46 / $3,930.09	Professional		$180.44	$2,228.46	$3,930.09
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 $1,973.96 / $3,038.66 / $7,599.66	Professional		$1,973.96	$3,038.66	$7,599.66