Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.14 / $4,134.00 / $9,842.00	Facility		$480.14	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.11 / $388.10 / $488.61	Facility	54	$360.11	$388.10	$488.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $493.23 / $823.43	Professional		$424.80	$493.23	$823.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.31 / $713.72 / $1,555.50	Professional		$480.31	$713.72	$1,555.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $482.96 / $764.19 / $852.67	Professional		$482.96	$764.19	$852.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $583.20 / $1,184.44	Facility		$486.18	$583.20	$1,184.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.11 / $600.45 / $1,159.15	Professional		$466.11	$600.45	$1,159.15
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 $439.89 / $665.76 / $1,560.63	Professional		$439.89	$665.76	$1,560.63