Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.19 / $6,321.00 / $11,298.00	Facility		$509.19	$6,321.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.27 / $509.19 / $702.76	Professional		$386.27	$509.19	$702.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.60 / $611.53 / $1,437.47	Professional		$355.60	$611.53	$1,437.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $491.05 / $650.05 / $1,529.18	Professional		$491.05	$650.05	$1,529.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,728.33 / $5,462.69 / $10,816.89	Facility		$4,728.33	$5,462.69	$10,816.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.99 / $576.36 / $819.97	Professional		$360.99	$576.36	$819.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,122.00 / $5,771.00 / $10,334.00	Facility		$2,122.00	$5,771.00	$10,334.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.49 / $614.62 / $1,068.29	Professional		$445.49	$614.62	$1,068.29