Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.39 / $4,134.00 / $9,842.00	Facility		$291.39	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.54 / $227.33 / $296.29	Facility	54	$218.54	$227.33	$296.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $310.63 / $538.13	Professional		$266.35	$310.63	$538.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $436.09 / $948.97	Professional		$298.64	$436.09	$948.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $438.80 / $526.04	Professional		$294.14	$438.80	$526.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $527.73 / $583.20	Facility		$486.18	$527.73	$583.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.50 / $368.70 / $717.55	Professional		$287.50	$368.70	$717.55
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 $270.63 / $400.15 / $926.01	Professional		$270.63	$400.15	$926.01