Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.38 / $5,521.00 / $9,383.00	Facility		$297.38	$5,521.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.33 / $2,253.96 / $3,448.70	Professional		$219.33	$2,253.96	$3,448.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $2,205.26 / $9,534.19	Professional		$272.83	$2,205.26	$9,534.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $447.72 / $4,033.35 / $4,957.28	Professional		$447.72	$4,033.35	$4,957.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,382.16 / $14,382.16 / $16,352.10	Facility		$14,382.16	$14,382.16	$16,352.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.63 / $2,938.64 / $5,405.01	Professional		$197.63	$2,938.64	$5,405.01
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 $1,568.20 / $3,558.20 / $7,210.50	Professional		$1,568.20	$3,558.20	$7,210.50