Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,612.00 / $6,680.00 / $11,332.00	Facility		$2,612.00	$6,680.00	$11,332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.56 / $893.13 / $951.06	Professional		$723.56	$893.13	$951.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $1,124.34 / $3,219.90	Professional		$345.00	$1,124.34	$3,219.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $884.37 / $1,177.70 / $1,429.59	Professional		$884.37	$1,177.70	$1,429.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,490.88 / $25,490.88 / $35,913.69	Facility		$25,490.88	$25,490.88	$35,913.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.45 / $784.23 / $1,393.42	Professional		$619.45	$784.23	$1,393.42
United Facility/Professional Facility Modifier Low / Median / High Price $6,066.00 / $12,315.00 / $27,214.00	Facility		$6,066.00	$12,315.00	$27,214.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.28 / $863.92 / $1,757.76	Professional		$563.28	$863.92	$1,757.76