Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.30 / $4,037.00 / $9,284.00	Facility		$424.30	$4,037.00	$9,284.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $318.23 / $345.56 / $436.34	Facility	54	$318.23	$345.56	$436.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.30 / $450.19 / $745.83	Professional		$389.30	$450.19	$745.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.90 / $633.50 / $1,386.06	Professional		$430.90	$633.50	$1,386.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.30 / $699.10 / $776.77	Professional		$436.30	$699.10	$776.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.92 / $4,423.85 / $8,437.42	Facility		$3,565.92	$4,423.85	$8,437.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.65 / $542.46 / $1,106.84	Professional		$417.65	$542.46	$1,106.84
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 $403.50 / $622.79 / $1,407.18	Professional		$403.50	$622.79	$1,407.18