Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.86 / $5,975.00 / $10,692.00	Facility		$371.86	$5,975.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.86 / $388.06 / $603.35	Professional		$269.86	$388.06	$603.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.58 / $474.31 / $1,116.92	Professional		$267.58	$474.31	$1,116.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $440.89 / $576.86 / $1,356.99	Professional		$440.89	$576.86	$1,356.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,728.33 / $4,728.33 / $5,671.88	Facility		$4,728.33	$4,728.33	$5,671.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $479.39 / $695.02	Professional		$270.64	$479.39	$695.02
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 $348.32 / $555.54 / $957.36	Professional		$348.32	$555.54	$957.36