Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.52 / $5,458.00 / $9,950.00	Facility		$984.52	$5,458.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.24 / $853.99 / $1,340.76	Professional		$645.24	$853.99	$1,340.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.27 / $1,207.70 / $2,529.13	Professional		$707.27	$1,207.70	$2,529.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $905.55 / $1,230.99 / $1,464.51	Professional		$905.55	$1,230.99	$1,464.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,359.29 / $12,359.29 / $23,570.44	Facility		$12,359.29	$12,359.29	$23,570.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.03 / $832.29 / $1,562.39	Professional		$649.03	$832.29	$1,562.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,066.00 / $6,648.00 / $13,893.00	Facility		$3,066.00	$6,648.00	$13,893.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.72 / $829.34 / $1,804.19	Professional		$576.72	$829.34	$1,804.19