Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.68 / $5,244.00 / $9,950.00	Facility		$925.68	$5,244.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.92 / $952.19 / $1,547.33	Professional		$814.92	$952.19	$1,547.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.25 / $1,473.57 / $3,467.23	Professional		$864.25	$1,473.57	$3,467.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $886.56 / $1,243.36 / $1,546.39	Professional		$886.56	$1,243.36	$1,546.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,564.67 / $14,995.29 / $31,620.94	Facility		$12,564.67	$14,995.29	$31,620.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.68 / $1,120.16 / $2,422.42	Professional		$866.68	$1,120.16	$2,422.42
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 $722.11 / $1,258.67 / $2,729.92	Professional		$722.11	$1,258.67	$2,729.92