Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.95 / $4,134.00 / $9,842.00	Facility		$266.95	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $200.22 / $215.52 / $289.64	Facility	54	$200.22	$215.52	$289.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $290.83 / $493.01	Professional		$251.28	$290.83	$493.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.42 / $417.63 / $1,045.80	Professional		$286.42	$417.63	$1,045.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $287.06 / $408.97 / $508.13	Professional		$287.06	$408.97	$508.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.49 / $663.08 / $1,112.21	Facility		$534.49	$663.08	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.86 / $349.23 / $789.89	Professional		$272.86	$349.23	$789.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.57 / $366.06 / $906.98	Professional		$245.57	$366.06	$906.98