Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $1,071.00 / $6,438.00	Facility		$244.07	$1,071.00	$6,438.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $174.41 / $191.67 / $257.95	Facility	54	$174.41	$191.67	$257.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.77 / $263.45 / $457.36	Professional		$221.77	$263.45	$457.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.17 / $371.89 / $817.38	Professional		$257.17	$371.89	$817.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.42 / $399.27 / $485.08	Professional		$265.42	$399.27	$485.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.65 / $527.73 / $1,112.21	Facility		$470.65	$527.73	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $325.31 / $663.66	Professional		$248.06	$325.31	$663.66
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 $241.52 / $342.91 / $820.88	Professional		$241.52	$342.91	$820.88