Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.08 / $2,344.00 / $9,125.00	Facility		$500.08	$2,344.00	$9,125.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.06 / $403.06 / $505.25	Facility	54	$375.06	$403.06	$505.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.87 / $511.59 / $887.27	Professional		$450.87	$511.59	$887.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.83 / $734.68 / $1,603.77	Professional		$505.83	$734.68	$1,603.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $496.94 / $793.93 / $877.54	Professional		$496.94	$793.93	$877.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.85 / $3,520.85 / $7,902.25	Facility		$3,520.85	$3,520.85	$7,902.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.50 / $618.64 / $1,228.60	Professional		$475.50	$618.64	$1,228.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.79 / $687.75 / $1,568.65	Professional		$452.79	$687.75	$1,568.65