Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.26 / $4,174.00 / $8,419.00	Facility		$209.26	$4,174.00	$8,419.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,986.00 / $7,059.00 / $10,219.50	Facility	50	$2,986.00	$7,059.00	$10,219.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $255.03 / $387.64	Professional		$165.90	$255.03	$387.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $430.30 / $632.57 / $1,996.76	Professional	50	$430.30	$632.57	$1,996.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $353.50 / $824.16	Professional		$175.00	$353.50	$824.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.05 / $389.84 / $478.24	Professional		$297.05	$389.84	$478.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,192.54 / $4,766.79 / $9,091.45	Facility		$4,192.54	$4,766.79	$9,091.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $244.55 / $421.31	Professional		$132.07	$244.55	$421.31
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 $192.26 / $255.69 / $561.50	Professional		$192.26	$255.69	$561.50