Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $4,677.35 / $10,715.19	Facility		$169.82	$4,677.35	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $6,760.83 / $14,125.38	Facility	50	$1,995.26	$6,760.83	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $295.12	Professional		$52.48	$109.65	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $245.47 / $512.86	Professional	50	$131.83	$245.47	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $371.54	Professional		$69.18	$144.54	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $162.18	Professional		$93.33	$117.49	$162.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $4,570.88	Facility		$1,819.70	$2,884.03	$4,570.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $104.71 / $389.05	Professional		$43.65	$104.71	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $7,762.47	Facility		$1,862.09	$3,715.35	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $251.19	Professional		$48.98	$97.72	$251.19