Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.76 / $6,396.00 / $11,798.00	Facility		$417.76	$6,396.00	$11,798.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,180.38 / $7,067.94 / $10,743.00	Facility	50	$3,180.38	$7,067.94	$10,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.82 / $391.30 / $624.90	Professional		$324.82	$391.30	$624.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,488.17 / $2,264.21 / $2,264.21	Professional	50	$1,488.17	$2,264.21	$2,264.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $586.12 / $1,152.92	Professional		$250.47	$586.12	$1,152.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $368.71 / $496.49 / $592.80	Professional		$368.71	$496.49	$592.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,581.77 / $15,229.20 / $29,870.10	Facility		$13,581.77	$15,229.20	$29,870.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $362.87 / $714.71	Professional		$256.00	$362.87	$714.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $8,475.00 / $14,134.00	Facility		$5,682.00	$8,475.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $353.96 / $742.90	Professional		$245.79	$353.96	$742.90