Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.13 / $6,515.00 / $11,298.00	Facility		$1,269.13	$6,515.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.07 / $963.10 / $1,742.06	Professional		$915.07	$963.10	$1,742.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.43 / $1,531.85 / $2,929.81	Professional		$834.43	$1,531.85	$2,929.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.01 / $1,605.01 / $1,931.46	Professional		$1,231.01	$1,605.01	$1,931.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,346.99 / $15,854.99 / $32,200.55	Facility		$14,346.99	$15,854.99	$32,200.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $834.08 / $1,089.85 / $2,048.08	Professional		$834.08	$1,089.85	$2,048.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.15 / $1,207.33 / $2,149.94	Professional		$753.15	$1,207.33	$2,149.94