Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.45 / $5,975.00 / $11,497.46	Facility		$439.45	$5,975.00	$11,497.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.97 / $1,682.09 / $2,500.42	Professional		$335.97	$1,682.09	$2,500.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.39 / $1,087.32 / $5,126.37	Professional		$395.39	$1,087.32	$5,126.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $627.17 / $2,771.83 / $3,195.92	Professional		$627.17	$2,771.83	$3,195.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,571.00 / $13,861.54 / $26,435.36	Facility		$9,571.00	$13,861.54	$26,435.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.32 / $1,897.97 / $3,546.80	Professional		$280.32	$1,897.97	$3,546.80
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 $1,750.80 / $2,609.98 / $6,476.32	Professional		$1,750.80	$2,609.98	$6,476.32