Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.35 / $4,118.00 / $9,842.00	Facility		$280.35	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.26 / $233.05 / $305.83	Facility	54	$210.26	$233.05	$305.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $309.39 / $552.27	Professional		$258.45	$309.39	$552.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $447.24 / $971.91	Professional		$296.64	$447.24	$971.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.22 / $468.23 / $547.96	Professional		$302.22	$468.23	$547.96
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 $293.07 / $376.39 / $727.60	Professional		$293.07	$376.39	$727.60
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 $281.51 / $453.68 / $1,192.72	Professional		$281.51	$453.68	$1,192.72