Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.57 / $5,982.00 / $11,298.00	Facility		$469.57	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.57 / $625.67 / $981.79	Professional		$469.57	$625.67	$981.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $890.61 / $1,851.06	Professional		$550.16	$890.61	$1,851.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $667.92 / $909.67 / $1,079.86	Professional		$667.92	$909.67	$1,079.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.14 / $4,980.33 / $10,799.81	Facility		$4,019.14	$4,980.33	$10,799.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.44 / $638.99 / $1,071.33	Professional		$476.44	$638.99	$1,071.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.57 / $642.12 / $1,367.11	Professional		$425.57	$642.12	$1,367.11