Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $3,987.00 / $9,784.00	Facility		$59.86	$3,987.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,461.00 / $5,461.00 / $8,385.00	Facility	50	$5,461.00	$5,461.00	$8,385.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $235.52 / $379.40	Professional		$46.72	$235.52	$379.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $65.76 / $65.76 / $65.76	Professional	50	$65.76	$65.76	$65.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.47 / $51.47 / $336.71	Facility		$51.47	$51.47	$336.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $134.06 / $569.19	Professional		$47.03	$134.06	$569.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $391.02 / $484.02	Professional		$283.02	$391.02	$484.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $274.92 / $513.74	Professional		$38.40	$274.92	$513.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $381.41 / $722.48	Professional		$264.70	$381.41	$722.48