Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.69 / $4,257.00 / $8,084.00	Facility		$305.69	$4,257.00	$8,084.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,242.00 / $3,658.90 / $3,878.70	Facility	50	$2,242.00	$3,658.90	$3,878.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.34 / $305.69 / $531.42	Professional		$236.34	$305.69	$531.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.25 / $418.82 / $972.12	Professional		$232.25	$418.82	$972.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $396.50 / $517.39 / $628.83	Professional		$396.50	$517.39	$628.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,512.98 / $8,532.15 / $18,907.56	Facility		$7,512.98	$8,532.15	$18,907.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.26 / $357.04 / $570.40	Professional		$209.26	$357.04	$570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $393.09 / $743.03	Professional		$248.71	$393.09	$743.03