Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.14 / $5,644.00 / $10,871.00	Facility		$443.14	$5,644.00	$10,871.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,571.00 / $5,571.00 / $7,370.46	Facility	50	$5,571.00	$5,571.00	$7,370.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.56 / $670.52 / $1,243.41	Professional		$302.56	$670.52	$1,243.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.26 / $892.83 / $2,349.30	Professional		$363.26	$892.83	$2,349.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $774.85 / $1,115.49 / $1,144.61	Professional		$774.85	$1,115.49	$1,144.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,367.19 / $15,955.73 / $32,405.17	Facility		$15,367.19	$15,955.73	$32,405.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.50 / $750.66 / $1,715.50	Professional		$258.50	$750.66	$1,715.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,438.00	Facility		$5,682.00	$10,536.00	$23,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.67 / $1,121.59 / $2,385.32	Professional		$653.67	$1,121.59	$2,385.32