Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.10 / $4,540.00 / $10,871.00	Facility		$512.10	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.10 / $588.97 / $1,014.79	Professional		$512.10	$588.97	$1,014.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.20 / $812.00 / $1,585.65	Professional		$503.20	$812.00	$1,585.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $658.82 / $952.56 / $1,151.73	Professional		$658.82	$952.56	$1,151.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.48 / $1,900.21 / $4,347.04	Facility		$1,839.48	$1,900.21	$4,347.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.85 / $696.05 / $1,198.43	Professional		$486.85	$696.05	$1,198.43
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 $397.01 / $663.26 / $1,430.51	Professional		$397.01	$663.26	$1,430.51