Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.78 / $3,110.00 / $9,784.00	Facility		$330.78	$3,110.00	$9,784.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.09 / $274.77 / $359.64	Facility	54	$248.09	$274.77	$359.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $366.37 / $613.80	Professional		$311.50	$366.37	$613.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.27 / $522.85 / $1,139.68	Professional		$346.27	$522.85	$1,139.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.77 / $550.04 / $642.26	Professional		$354.77	$550.04	$642.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.73 / $534.49 / $663.08	Facility		$527.73	$534.49	$663.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $442.72 / $855.25	Professional		$342.00	$442.72	$855.25
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 $315.32 / $487.21 / $1,146.41	Professional		$315.32	$487.21	$1,146.41