Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.49 / $6,171.00 / $11,298.00	Facility		$429.49	$6,171.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.17 / $1,397.44 / $2,378.39	Professional		$317.17	$1,397.44	$2,378.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.06 / $1,706.53 / $5,439.60	Professional		$369.06	$1,706.53	$5,439.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $649.86 / $2,422.83 / $2,973.81	Professional		$649.86	$2,422.83	$2,973.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,860.02 / $12,001.50 / $22,888.08	Facility		$10,860.02	$12,001.50	$22,888.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.45 / $1,692.32 / $3,177.58	Professional		$287.45	$1,692.32	$3,177.58
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 $1,619.47 / $2,579.76 / $4,403.64	Professional		$1,619.47	$2,579.76	$4,403.64