Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.95 / $6,396.00 / $12,384.00	Facility		$883.95	$6,396.00	$12,384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.84 / $725.74 / $1,243.69	Professional		$642.84	$725.74	$1,243.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.15 / $949.57 / $1,988.20	Professional		$548.15	$949.57	$1,988.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $742.72 / $1,079.96 / $1,426.04	Professional		$742.72	$1,079.96	$1,426.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,180.88 / $14,382.16 / $29,209.37	Facility		$13,180.88	$14,382.16	$29,209.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.02 / $830.46 / $1,401.41	Professional		$583.02	$830.46	$1,401.41
United Facility/Professional Facility Modifier Low / Median / High Price $5,045.00 / $9,969.00 / $19,690.00	Facility		$5,045.00	$9,969.00	$19,690.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.35 / $745.61 / $1,575.35	Professional		$486.35	$745.61	$1,575.35