Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.45 / $569.26 / $10,202.00	Facility		$281.45	$569.26	$10,202.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $211.09 / $229.97 / $301.19	Facility	54	$211.09	$229.97	$301.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $311.70 / $535.74	Professional		$269.04	$311.70	$535.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.61 / $442.25 / $968.02	Professional		$300.61	$442.25	$968.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.55 / $463.52 / $552.84	Professional		$306.55	$463.52	$552.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.65 / $527.73 / $1,264.67	Facility		$470.65	$527.73	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.41 / $379.43 / $787.16	Professional		$294.41	$379.43	$787.16
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 $265.27 / $397.77 / $982.76	Professional		$265.27	$397.77	$982.76