Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.91 / $2,869.00 / $8,084.00	Facility		$66.91	$2,869.00	$8,084.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,984.25 / $5,876.18 / $5,876.18	Facility	50	$2,984.25	$5,876.18	$5,876.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $93.95 / $169.12	Professional		$58.25	$93.95	$169.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $143.41 / $381.18	Professional		$70.72	$143.41	$381.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $152.38 / $155.90	Professional		$104.21	$152.38	$155.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.51 / $1,523.51 / $1,683.65	Facility		$1,523.51	$1,523.51	$1,683.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $102.36 / $261.89	Professional		$50.78	$102.36	$261.89
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 $89.46 / $166.12 / $314.83	Professional		$89.46	$166.12	$314.83