Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.28 / $5,891.59 / $9,842.00	Facility		$391.28	$5,891.59	$9,842.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,227.34 / $8,115.50 / $11,202.81	Facility	50	$4,227.34	$8,115.50	$11,202.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.81 / $452.62 / $870.09	Professional		$362.81	$452.62	$870.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.61 / $720.57 / $1,593.79	Professional		$390.61	$720.57	$1,593.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $685.05 / $892.61 / $1,082.24	Professional		$685.05	$892.61	$1,082.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,966.36 / $16,523.14 / $20,188.08	Facility		$8,966.36	$16,523.14	$20,188.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.21 / $589.41 / $952.38	Professional		$378.21	$589.41	$952.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.98 / $672.29 / $1,215.89	Professional		$315.98	$672.29	$1,215.89