Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.67 / $6,171.00 / $11,798.00	Facility		$816.67	$6,171.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.80 / $656.18 / $1,112.97	Professional		$574.80	$656.18	$1,112.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.07 / $889.89 / $1,720.87	Professional		$558.07	$889.89	$1,720.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $712.49 / $1,029.08 / $1,241.63	Professional		$712.49	$1,029.08	$1,241.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,835.39 / $14,184.51 / $28,807.94	Facility		$12,835.39	$14,184.51	$28,807.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.61 / $759.92 / $1,296.48	Professional		$525.61	$759.92	$1,296.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,258.00	Facility		$5,682.00	$10,536.00	$23,258.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.13 / $688.59 / $1,443.33	Professional		$438.13	$688.59	$1,443.33