Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.48 / $4,118.00 / $9,784.00	Facility		$87.48	$4,118.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,152.08 / $6,103.00 / $8,135.76	Facility	50	$2,152.08	$6,103.00	$8,135.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $176.86 / $248.40	Professional		$72.80	$176.86	$248.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $205.04 / $557.99	Professional		$88.37	$205.04	$557.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.82 / $285.89 / $360.72	Professional		$210.82	$285.89	$360.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,358.71 / $1,914.26	Facility		$1,358.71	$1,358.71	$1,914.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $210.79 / $425.03	Professional		$65.65	$210.79	$425.03
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 $170.81 / $282.56 / $557.98	Professional		$170.81	$282.56	$557.98