Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.24 / $5,398.00 / $9,860.00	Facility		$1,006.24	$5,398.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.80 / $819.46 / $1,358.73	Professional		$708.80	$819.46	$1,358.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.40 / $1,211.29 / $2,544.12	Professional		$710.40	$1,211.29	$2,544.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $909.02 / $1,235.35 / $1,470.26	Professional		$909.02	$1,235.35	$1,470.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,359.29 / $14,052.17 / $25,101.06	Facility		$12,359.29	$14,052.17	$25,101.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.20 / $882.84 / $1,590.49	Professional		$652.20	$882.84	$1,590.49
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 $573.50 / $851.97 / $1,812.96	Professional		$573.50	$851.97	$1,812.96