Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.99 / $5,766.00 / $10,202.00	Facility		$202.99	$5,766.00	$10,202.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,404.37 / $5,404.37 / $7,720.50	Facility	50	$5,404.37	$5,404.37	$7,720.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $1,514.13 / $2,334.14	Professional		$154.59	$1,514.13	$2,334.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $1,280.49 / $6,056.22	Professional		$187.45	$1,280.49	$6,056.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.18 / $2,392.07 / $2,940.07	Professional		$291.18	$2,392.07	$2,940.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,229.20 / $16,829.91 / $36,495.49	Facility		$15,229.20	$16,829.91	$36,495.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.71 / $1,756.24 / $3,297.60	Professional		$124.71	$1,756.24	$3,297.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,220.65 / $2,174.91 / $4,745.12	Professional		$1,220.65	$2,174.91	$4,745.12