Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.92 / $3,297.00 / $9,125.00	Facility		$119.92	$3,297.00	$9,125.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,359.00 / $7,234.50 / $9,496.54	Facility	50	$1,359.00	$7,234.50	$9,496.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $391.01 / $724.53	Professional		$97.97	$391.01	$724.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $486.00 / $486.00 / $486.00	Professional	50	$486.00	$486.00	$486.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.62 / $338.19 / $1,308.24	Professional		$112.62	$338.19	$1,308.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $865.98 / $1,065.44	Professional		$179.55	$865.98	$1,065.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,151.83 / $4,506.66 / $9,498.02	Facility		$4,151.83	$4,506.66	$9,498.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $522.61 / $867.34	Professional		$81.54	$522.61	$867.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.44 / $611.64 / $1,360.91	Professional		$403.44	$611.64	$1,360.91