Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.32 / $2,205.00 / $6,986.00	Facility		$449.32	$2,205.00	$6,986.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $330.08 / $362.96 / $454.74	Facility	54	$330.08	$362.96	$454.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.69 / $459.64 / $813.28	Professional		$397.69	$459.64	$813.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $650.13 / $1,426.52	Professional		$450.91	$650.13	$1,426.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $453.58 / $747.95 / $813.65	Professional		$453.58	$747.95	$813.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,139.98 / $3,139.98 / $8,437.42	Facility		$3,139.98	$3,139.98	$8,437.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.40 / $561.57 / $1,104.39	Professional		$424.40	$561.57	$1,104.39
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 $404.47 / $611.75 / $1,421.27	Professional		$404.47	$611.75	$1,421.27