Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.30 / $4,540.00 / $10,871.00	Facility		$486.30	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.30 / $564.78 / $944.19	Professional		$486.30	$564.78	$944.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.42 / $753.89 / $1,478.03	Professional		$478.42	$753.89	$1,478.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $613.59 / $886.65 / $1,070.85	Professional		$613.59	$886.65	$1,070.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,906.24 / $3,300.49 / $6,868.01	Facility		$2,906.24	$3,300.49	$6,868.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.42 / $652.38 / $1,096.82	Professional		$450.42	$652.38	$1,096.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.67 / $610.08 / $1,323.48	Professional		$386.67	$610.08	$1,323.48