Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.05 / $6,325.00 / $22,900.00	Facility		$679.05	$6,325.00	$22,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.05 / $796.65 / $1,345.25	Professional		$679.05	$796.65	$1,345.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.82 / $1,033.66 / $2,071.25	Professional		$648.82	$1,033.66	$2,071.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $863.38 / $1,247.00 / $1,504.37	Professional		$863.38	$1,247.00	$1,504.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,835.39 / $13,661.29 / $27,051.28	Facility		$12,835.39	$13,661.29	$27,051.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.27 / $921.50 / $1,567.00	Professional		$653.27	$921.50	$1,567.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $8,043.00 / $14,048.00	Facility		$3,885.00	$8,043.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.08 / $872.90 / $1,811.28	Professional		$528.08	$872.90	$1,811.28