Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.79 / $3,057.00 / $9,284.00	Facility		$90.79	$3,057.00	$9,284.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,989.50 / $2,100.00 / $8,059.50	Facility	50	$1,989.50	$2,100.00	$8,059.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $93.91 / $164.30	Professional		$53.87	$93.91	$164.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $149.25 / $395.87	Professional		$71.45	$149.25	$395.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $152.12 / $155.13	Professional		$93.36	$152.12	$155.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,164.46 / $2,164.46 / $2,164.46	Facility		$2,164.46	$2,164.46	$2,164.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $95.56 / $276.73	Professional		$46.88	$95.56	$276.73
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 $85.50 / $155.13 / $351.81	Professional		$85.50	$155.13	$351.81