Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.27 / $4,830.00 / $9,784.00	Facility		$136.27	$4,830.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,364.50 / $2,522.90 / $6,243.99	Facility	50	$1,364.50	$2,522.90	$6,243.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $158.54 / $269.37	Professional		$136.27	$158.54	$269.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $254.26 / $544.89	Professional		$121.81	$254.26	$544.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $247.53 / $294.61	Professional		$183.50	$247.53	$294.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,793.78 / $3,842.35 / $7,995.59	Facility		$3,793.78	$3,842.35	$7,995.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $175.31 / $327.77	Professional		$125.17	$175.31	$327.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $157.91 / $336.92	Professional		$116.50	$157.91	$336.92