Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.17 / $5,817.00 / $9,860.00	Facility		$562.17	$5,817.00	$9,860.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,128.00 / $7,762.00 / $12,367.50	Facility	50	$4,128.00	$7,762.00	$12,367.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.27 / $563.34 / $855.76	Professional		$394.27	$563.34	$855.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.29 / $900.21 / $1,975.71	Professional		$343.29	$900.21	$1,975.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $607.05 / $762.06 / $905.07	Professional		$607.05	$762.06	$905.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,924.40 / $7,013.04 / $15,541.20	Facility		$6,924.40	$7,013.04	$15,541.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.89 / $505.07 / $919.62	Professional		$268.89	$505.07	$919.62
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 $454.62 / $609.62 / $1,564.77	Professional		$454.62	$609.62	$1,564.77