Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.00 / $6,864.06 / $13,092.00	Facility		$841.00	$6,864.06	$13,092.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.00 / $1,047.20 / $2,107.71	Professional		$841.00	$1,047.20	$2,107.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.25 / $1,126.71 / $2,345.73	Professional		$684.25	$1,126.71	$2,345.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.76 / $1,446.05 / $1,592.67	Professional		$1,066.76	$1,446.05	$1,592.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $11,606.42 / $14,382.16	Facility		$1,080.00	$11,606.42	$14,382.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.04 / $1,120.14 / $1,702.81	Professional		$818.04	$1,120.14	$1,702.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.23 / $1,008.80 / $2,282.92	Professional		$637.23	$1,008.80	$2,282.92