Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.35 / $3,057.00 / $9,284.00	Facility		$432.35	$3,057.00	$9,284.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $324.26 / $353.24 / $438.76	Facility	54	$324.26	$353.24	$438.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $448.04 / $754.51	Professional		$393.50	$448.04	$754.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.14 / $636.96 / $1,396.02	Professional		$440.14	$636.96	$1,396.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $437.87 / $719.41 / $782.87	Professional		$437.87	$719.41	$782.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.91 / $7,420.39 / $8,437.42	Facility		$3,890.91	$7,420.39	$8,437.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.25 / $542.12 / $1,107.43	Professional		$409.25	$542.12	$1,107.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.76 / $569.23 / $1,407.36	Professional		$402.76	$569.23	$1,407.36