Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.83 / $4,558.00 / $9,784.00	Facility		$418.83	$4,558.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.13 / $1,524.43 / $2,284.83	Professional		$368.13	$1,524.43	$2,284.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.03 / $1,787.57 / $5,144.17	Professional		$421.03	$1,787.57	$5,144.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $710.15 / $2,430.48 / $2,988.41	Professional		$710.15	$2,430.48	$2,988.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,766.81 / $8,075.85 / $15,991.30	Facility		$6,766.81	$8,075.85	$15,991.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.92 / $1,667.29 / $3,077.52	Professional		$308.92	$1,667.29	$3,077.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.93 / $2,137.11 / $4,349.26	Professional		$1,246.93	$2,137.11	$4,349.26