Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.64 / $2,286.00 / $8,419.00	Facility		$181.64	$2,286.00	$8,419.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,081.65 / $2,990.25 / $2,990.25	Facility	50	$2,081.65	$2,990.25	$2,990.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $181.64 / $300.54	Professional		$106.51	$181.64	$300.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $245.04 / $632.28	Professional		$127.43	$245.04	$632.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $290.17 / $383.75 / $398.11	Professional		$290.17	$383.75	$398.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,164.46 / $4,127.87 / $4,395.92	Facility		$2,164.46	$4,127.87	$4,395.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $247.22 / $436.28	Professional		$100.57	$247.22	$436.28
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 $174.97 / $280.25 / $610.63	Professional		$174.97	$280.25	$610.63