Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.28 / $6,180.00 / $11,298.00	Facility		$1,144.28	$6,180.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.19 / $933.17 / $1,568.54	Professional		$836.19	$933.17	$1,568.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.04 / $1,226.71 / $2,508.23	Professional		$653.04	$1,226.71	$2,508.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $946.87 / $1,380.55 / $1,692.86	Professional		$946.87	$1,380.55	$1,692.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $11,606.42 / $14,382.16	Facility		$11,606.42	$11,606.42	$14,382.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.34 / $1,070.58 / $1,886.24	Professional		$719.34	$1,070.58	$1,886.24
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 $626.67 / $916.16 / $2,113.61	Professional		$626.67	$916.16	$2,113.61