Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.80 / $4,134.00 / $9,842.00	Facility		$387.80	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $290.85 / $291.50 / $363.96	Facility	54	$290.85	$291.50	$363.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $388.67 / $652.90	Professional		$330.23	$388.67	$652.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.14 / $554.00 / $1,189.47	Professional		$387.14	$554.00	$1,189.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $362.48 / $583.94 / $640.00	Professional		$362.48	$583.94	$640.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.65 / $470.65 / $663.08	Facility		$470.65	$470.65	$663.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.14 / $460.63 / $859.78	Professional		$351.14	$460.63	$859.78
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 $327.42 / $492.34 / $1,136.65	Professional		$327.42	$492.34	$1,136.65