Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.90 / $5,458.00 / $9,950.00	Facility		$866.90	$5,458.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.96 / $792.02 / $913.24	Professional		$698.96	$792.02	$913.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.60 / $1,310.85 / $4,046.35	Professional		$870.60	$1,310.85	$4,046.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $996.36 / $1,344.66 / $1,601.13	Professional		$996.36	$1,344.66	$1,601.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,274.24 / $27,785.51 / $57,819.12	Facility		$25,274.24	$27,785.51	$57,819.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.83 / $882.79 / $1,570.48	Professional		$652.83	$882.79	$1,570.48
United Facility/Professional Facility Modifier Low / Median / High Price $6,066.00 / $12,315.00 / $27,214.00	Facility		$6,066.00	$12,315.00	$27,214.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.50 / $945.99 / $2,574.25	Professional		$755.50	$945.99	$2,574.25