Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.05 / $5,802.00 / $11,938.00	Facility		$378.05	$5,802.00	$11,938.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $1,256.52 / $1,735.39	Professional		$286.66	$1,256.52	$1,735.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.17 / $935.46 / $3,537.36	Professional		$340.17	$935.46	$3,537.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $531.35 / $2,071.79 / $2,388.89	Professional		$531.35	$2,071.79	$2,388.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,571.00 / $12,703.75 / $30,058.58	Facility		$9,571.00	$12,703.75	$30,058.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.25 / $1,394.02 / $2,310.62	Professional		$240.25	$1,394.02	$2,310.62
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 $1,316.93 / $1,823.53 / $4,753.72	Professional		$1,316.93	$1,823.53	$4,753.72