Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.86 / $5,074.56 / $9,125.00	Facility		$489.86	$5,074.56	$9,125.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,890.94 / $2,890.94 / $2,890.94	Facility	50	$2,890.94	$2,890.94	$2,890.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $485.60 / $847.28	Professional		$387.00	$485.60	$847.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.10 / $683.11 / $1,518.53	Professional		$385.10	$683.11	$1,518.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.01 / $805.71 / $982.49	Professional		$616.01	$805.71	$982.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,761.00 / $9,309.76 / $20,188.08	Facility		$7,761.00	$9,309.76	$20,188.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.80 / $554.63 / $888.48	Professional		$341.80	$554.63	$888.48
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 $392.89 / $583.82 / $1,179.80	Professional		$392.89	$583.82	$1,179.80