Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,445.00 / $9,125.00	Facility		$450.00	$2,445.00	$9,125.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $337.50 / $370.06 / $470.28	Facility	54	$337.50	$370.06	$470.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $473.13 / $776.11	Professional		$413.35	$473.13	$776.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.99 / $673.12 / $1,493.51	Professional		$460.99	$673.12	$1,493.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $746.70 / $833.45	Professional		$468.00	$746.70	$833.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.85 / $3,890.91 / $7,902.25	Facility		$3,520.85	$3,890.91	$7,902.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.47 / $578.52 / $1,119.17	Professional		$438.47	$578.52	$1,119.17
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 $414.97 / $607.45 / $1,500.61	Professional		$414.97	$607.45	$1,500.61