Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $4,118.00 / $9,842.00	Facility		$307.14	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.36 / $255.10 / $338.96	Facility	54	$230.36	$255.10	$338.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $340.13 / $616.49	Professional		$291.82	$340.13	$616.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.07 / $491.11 / $1,076.61	Professional		$329.07	$491.11	$1,076.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $335.82 / $508.88 / $609.38	Professional		$335.82	$508.88	$609.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $561.69 / $1,264.67	Facility		$486.18	$561.69	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.83 / $418.08 / $849.91	Professional		$323.83	$418.08	$849.91
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 $303.30 / $438.98 / $1,124.81	Professional		$303.30	$438.98	$1,124.81