Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.43 / $4,450.00 / $9,299.00	Facility		$491.43	$4,450.00	$9,299.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $990.00 / $8,725.50 / $12,682.00	Facility	50	$990.00	$8,725.50	$12,682.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $128.79 / $128.79 / $250.57	Facility	52	$128.79	$128.79	$250.57
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.51 / $51.51 / $100.23	Facility	53	$51.51	$51.51	$100.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.57 / $324.58 / $508.49	Professional		$257.57	$324.58	$508.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.77 / $455.75 / $961.09	Professional		$278.77	$455.75	$961.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.17 / $460.39 / $549.85	Professional		$340.17	$460.39	$549.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,587.62 / $8,075.85 / $8,385.14	Facility		$7,587.62	$8,075.85	$8,385.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.50 / $338.41 / $599.78	Professional		$244.50	$338.41	$599.78
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 $220.70 / $314.33 / $679.66	Professional		$220.70	$314.33	$679.66