Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.32 / $4,895.00 / $9,784.00	Facility		$186.32	$4,895.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $860.06 / $1,135.02	Professional		$133.62	$860.06	$1,135.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,837.70 / $1,837.70 / $1,837.70	Professional	50	$1,837.70	$1,837.70	$1,837.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $752.26 / $3,010.74	Professional		$167.06	$752.26	$3,010.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.17 / $1,365.12 / $1,677.31	Professional		$276.17	$1,365.12	$1,677.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,793.78 / $4,192.54 / $7,995.59	Facility		$3,793.78	$4,192.54	$7,995.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $785.05 / $1,724.91	Professional		$109.89	$785.05	$1,724.91
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 $688.28 / $1,039.04 / $2,297.35	Professional		$688.28	$1,039.04	$2,297.35