Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.98 / $6,515.00 / $11,298.00	Facility		$1,004.98	$6,515.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.08 / $817.16 / $1,408.78	Professional		$734.08	$817.16	$1,408.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.84 / $1,261.55 / $2,321.15	Professional		$762.84	$1,261.55	$2,321.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $959.54 / $1,282.96 / $1,533.54	Professional		$959.54	$1,282.96	$1,533.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,860.02 / $11,558.82 / $21,300.52	Facility		$10,860.02	$11,558.82	$21,300.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.72 / $918.43 / $1,664.61	Professional		$675.72	$918.43	$1,664.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.18 / $1,060.72 / $1,885.39	Professional		$764.18	$1,060.72	$1,885.39