Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $4,105.00 / $9,784.00	Facility		$287.45	$4,105.00	$9,784.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $215.60 / $240.98 / $316.97	Facility	54	$215.60	$240.98	$316.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.77 / $321.31 / $543.79	Professional		$272.77	$321.31	$543.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $459.02 / $1,000.57	Professional		$301.27	$459.02	$1,000.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $310.98 / $482.86 / $565.16	Professional		$310.98	$482.86	$565.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $583.20 / $1,184.44	Facility		$583.20	$583.20	$1,184.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $390.27 / $742.35	Professional		$299.97	$390.27	$742.35
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 $285.44 / $429.74 / $1,009.54	Professional		$285.44	$429.74	$1,009.54