Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.55 / $6,064.00 / $10,871.00	Facility		$1,215.55	$6,064.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.81 / $1,138.23 / $2,332.26	Professional		$977.81	$1,138.23	$2,332.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.09 / $1,222.11 / $2,727.32	Professional		$730.09	$1,222.11	$2,727.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.73 / $1,543.61 / $1,696.04	Professional		$1,138.73	$1,543.61	$1,696.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,014.26 / $25,525.77 / $31,187.56	Facility		$13,014.26	$25,525.77	$31,187.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $877.54 / $1,201.60 / $2,008.29	Professional		$877.54	$1,201.60	$2,008.29
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 $671.90 / $1,044.55 / $2,398.58	Professional		$671.90	$1,044.55	$2,398.58