Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.98 / $4,134.00 / $9,842.00	Facility		$491.98	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $368.99 / $391.77 / $494.60	Facility	54	$368.99	$391.77	$494.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.38 / $511.09 / $840.61	Professional		$448.38	$511.09	$840.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.42 / $726.26 / $1,570.68	Professional		$493.42	$726.26	$1,570.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $487.15 / $779.98 / $861.56	Professional		$487.15	$779.98	$861.56
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 $473.03 / $605.27 / $1,264.58	Professional		$473.03	$605.27	$1,264.58
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 $444.63 / $695.99 / $1,572.39	Professional		$444.63	$695.99	$1,572.39