Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.58 / $5,905.00 / $10,692.00	Facility		$565.58	$5,905.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.64 / $1,533.46 / $2,327.65	Professional		$411.64	$1,533.46	$2,327.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.87 / $1,813.61 / $5,239.30	Professional		$475.87	$1,813.61	$5,239.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $848.80 / $2,397.61 / $2,942.36	Professional		$848.80	$2,397.61	$2,942.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,999.06 / $12,001.50 / $22,888.08	Facility		$10,999.06	$12,001.50	$22,888.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.42 / $1,676.70 / $3,133.30	Professional		$368.42	$1,676.70	$3,133.30
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 $1,621.90 / $2,531.21 / $4,360.46	Professional		$1,621.90	$2,531.21	$4,360.46