Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.75 / $5,009.00 / $9,842.00	Facility		$506.75	$5,009.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.41 / $439.29 / $751.47	Professional		$385.41	$439.29	$751.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.84 / $612.45 / $1,157.55	Professional		$357.84	$612.45	$1,157.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $439.34 / $636.15 / $770.25	Professional		$439.34	$636.15	$770.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,605.89 / $12,657.58 / $26,691.35	Facility		$10,605.89	$12,657.58	$26,691.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.86 / $498.36 / $846.18	Professional		$353.86	$498.36	$846.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,495.00 / $8,979.00 / $18,384.00	Facility		$4,495.00	$8,979.00	$18,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.48 / $451.84 / $954.10	Professional		$300.48	$451.84	$954.10