Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.59 / $5,647.00 / $10,871.00	Facility		$551.59	$5,647.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.27 / $2,537.92 / $4,462.68	Professional		$426.27	$2,537.92	$4,462.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $1,386.13 / $7,803.41	Professional		$510.00	$1,386.13	$7,803.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.38 / $4,201.01 / $4,837.51	Professional		$794.38	$4,201.01	$4,837.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,571.00 / $24,948.88 / $52,581.04	Facility		$9,571.00	$24,948.88	$52,581.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.81 / $3,127.39 / $5,135.25	Professional		$356.81	$3,127.39	$5,135.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,066.00 / $12,315.00 / $27,214.00	Facility		$6,066.00	$12,315.00	$27,214.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,654.64 / $3,958.68 / $10,681.81	Professional		$2,654.64	$3,958.68	$10,681.81