Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.51 / $4,134.00 / $9,842.00	Facility		$467.51	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $350.63 / $355.52 / $447.63	Facility	54	$350.63	$355.52	$447.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.11 / $474.02 / $785.75	Professional		$405.11	$474.02	$785.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.89 / $677.17 / $1,438.45	Professional		$471.89	$677.17	$1,438.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $450.85 / $699.28 / $794.64	Professional		$450.85	$699.28	$794.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.49 / $583.20 / $663.08	Facility		$534.49	$583.20	$663.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.92 / $572.17 / $1,139.11	Professional		$434.92	$572.17	$1,139.11
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 $403.00 / $607.05 / $1,445.69	Professional		$403.00	$607.05	$1,445.69