Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.00 / $5,766.00 / $10,202.00	Facility		$243.00	$5,766.00	$10,202.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,307.75 / $1,392.75 / $16,225.55	Facility	50	$1,307.75	$1,392.75	$16,225.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.26 / $1,538.62 / $3,883.97	Professional		$184.26	$1,538.62	$3,883.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $1,297.27 / $6,369.43	Professional		$213.75	$1,297.27	$6,369.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $332.52 / $2,432.23 / $2,988.91	Professional		$332.52	$2,432.23	$2,988.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,030.14 / $15,424.19 / $16,829.91	Facility		$14,030.14	$15,424.19	$16,829.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $1,778.81 / $3,393.44	Professional		$141.94	$1,778.81	$3,393.44
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 $1,259.22 / $2,377.41 / $5,628.72	Professional		$1,259.22	$2,377.41	$5,628.72