Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.30 / $2,559.00 / $9,284.00	Facility		$387.30	$2,559.00	$9,284.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $290.48 / $315.86 / $396.70	Facility	54	$290.48	$315.86	$396.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.40 / $405.72 / $698.37	Professional		$354.40	$405.72	$698.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.80 / $580.37 / $1,258.26	Professional		$393.80	$580.37	$1,258.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $394.12 / $639.02 / $703.40	Professional		$394.12	$639.02	$703.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.65 / $583.20 / $1,184.44	Facility		$470.65	$583.20	$1,184.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.13 / $492.53 / $914.11	Professional		$378.13	$492.53	$914.11
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 $356.52 / $494.42 / $1,204.98	Professional		$356.52	$494.42	$1,204.98