Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.46 / $4,118.00 / $9,842.00	Facility		$361.46	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $265.49 / $286.52 / $291.93	Facility	54	$265.49	$286.52	$291.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $327.16 / $521.66	Professional		$280.99	$327.16	$521.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.13 / $458.28 / $935.37	Professional		$303.13	$458.28	$935.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $286.26 / $512.95 / $519.11	Professional		$286.26	$512.95	$519.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.65 / $470.65 / $583.20	Facility		$470.65	$470.65	$583.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.41 / $361.56 / $697.74	Professional		$276.41	$361.56	$697.74
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 $274.87 / $427.88 / $1,038.83	Professional		$274.87	$427.88	$1,038.83