Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $4,294.00 / $9,125.00	Facility		$199.80	$4,294.00	$9,125.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,909.00 / $5,488.35 / $9,019.81	Facility	50	$1,909.00	$5,488.35	$9,019.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $256.58 / $412.16	Professional		$153.22	$256.58	$412.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $337.03 / $771.21 / $771.21	Professional	50	$337.03	$771.21	$771.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.26 / $344.55 / $789.58	Professional		$175.26	$344.55	$789.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.14 / $402.18 / $493.12	Professional		$297.14	$402.18	$493.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,383.38 / $3,383.38 / $7,441.00	Facility		$3,383.38	$3,383.38	$7,441.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $249.05 / $439.50	Professional		$125.81	$249.05	$439.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.35 / $271.45 / $570.66	Professional		$200.35	$271.45	$570.66