Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.51 / $5,486.00 / $9,950.00	Facility		$1,232.51	$5,486.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.39 / $976.94 / $1,579.04	Professional		$786.39	$976.94	$1,579.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.26 / $1,187.45 / $2,863.30	Professional		$780.26	$1,187.45	$2,863.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $862.10 / $1,157.52 / $2,722.93	Professional		$862.10	$1,157.52	$2,722.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,622.47 / $5,544.92 / $10,574.69	Facility		$4,622.47	$5,544.92	$10,574.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.08 / $1,043.94 / $1,601.83	Professional		$814.08	$1,043.94	$1,601.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.74 / $1,047.45 / $1,912.64	Professional		$730.74	$1,047.45	$1,912.64