Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.57 / $5,244.00 / $9,950.00	Facility		$606.57	$5,244.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.96 / $769.46 / $1,074.64	Professional		$569.96	$769.46	$1,074.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.29 / $1,182.73 / $3,003.04	Professional		$698.29	$1,182.73	$3,003.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $799.70 / $1,125.92 / $1,446.53	Professional		$799.70	$1,125.92	$1,446.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,747.57 / $5,397.86 / $10,295.07	Facility		$4,747.57	$5,397.86	$10,295.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.98 / $945.68 / $1,756.02	Professional		$746.98	$945.68	$1,756.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.09 / $1,110.52 / $2,126.14	Professional		$562.09	$1,110.52	$2,126.14