Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.69 / $4,198.01 / $10,014.00	Facility		$501.69	$4,198.01	$10,014.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,008.47 / $9,809.34 / $11,850.00	Facility	50	$3,008.47	$9,809.34	$11,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.43 / $512.86 / $962.04	Professional		$459.43	$512.86	$962.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $709.43 / $785.09 / $785.09	Professional	50	$709.43	$785.09	$785.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.69 / $664.66 / $1,285.25	Professional		$345.69	$664.66	$1,285.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $635.09 / $860.89 / $983.45	Professional		$635.09	$860.89	$983.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,707.40 / $5,056.35 / $9,643.75	Facility		$3,707.40	$5,056.35	$9,643.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.13 / $708.39 / $993.99	Professional		$515.13	$708.39	$993.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.80 / $598.99 / $1,155.84	Professional		$368.80	$598.99	$1,155.84