Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.35 / $4,791.00 / $11,332.00	Facility		$660.35	$4,791.00	$11,332.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,777.85 / $5,027.00 / $12,108.00	Facility	50	$3,777.85	$5,027.00	$12,108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $675.03 / $1,205.50	Professional		$542.29	$675.03	$1,205.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,095.68 / $5,095.68 / $5,095.68	Professional	50	$5,095.68	$5,095.68	$5,095.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $1,097.34 / $2,410.31	Professional		$580.00	$1,097.34	$2,410.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $976.70 / $1,278.27 / $1,561.18	Professional		$976.70	$1,278.27	$1,561.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,512.98 / $9,309.76 / $20,188.08	Facility		$7,512.98	$9,309.76	$20,188.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.33 / $882.51 / $1,451.32	Professional		$558.33	$882.51	$1,451.32
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 $484.83 / $859.65 / $1,825.53	Professional		$484.83	$859.65	$1,825.53