Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.55 / $4,118.00 / $9,842.00	Facility		$118.55	$4,118.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $88.91 / $101.93 / $139.41	Facility	54	$88.91	$101.93	$139.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $132.16 / $245.83	Professional		$113.84	$132.16	$245.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $192.80 / $422.56	Professional		$125.14	$192.80	$422.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $194.49 / $238.19	Professional		$128.50	$194.49	$238.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $561.69 / $1,264.67	Facility		$486.18	$561.69	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $167.28 / $315.18	Professional		$118.72	$167.28	$315.18
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 $122.54 / $170.56 / $423.69	Professional		$122.54	$170.56	$423.69