Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.16 / $4,174.00 / $8,424.00	Facility		$190.16	$4,174.00	$8,424.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.72 / $48.27 / $86.06	Facility	53	$37.72	$48.27	$86.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $241.36 / $413.01	Professional		$146.69	$241.36	$413.01
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 $181.46 / $375.88 / $851.47	Professional		$181.46	$375.88	$851.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $516.19 / $632.04	Professional		$281.45	$516.19	$632.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,994.86 / $7,730.08 / $15,699.33	Facility		$6,994.86	$7,730.08	$15,699.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $323.14 / $538.32	Professional		$124.49	$323.14	$538.32
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 $270.05 / $412.57 / $734.56	Professional		$270.05	$412.57	$734.56