Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.48 / $6,922.00 / $13,413.00	Facility		$1,089.48	$6,922.00	$13,413.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $817.11 / $817.11 / $1,103.24	Facility	54	$817.11	$817.11	$1,103.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.97 / $1,172.77 / $1,886.99	Professional		$915.97	$1,172.77	$1,886.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.91 / $1,416.41 / $3,410.68	Professional		$926.91	$1,416.41	$3,410.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.91 / $1,382.70 / $3,252.64	Professional		$1,024.91	$1,382.70	$3,252.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,850.15 / $9,419.62 / $9,780.39	Facility		$8,850.15	$9,419.62	$9,780.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $966.08 / $1,322.85 / $1,934.39	Professional		$966.08	$1,322.85	$1,934.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,667.00 / $9,969.00 / $19,696.00	Facility		$5,667.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.41 / $1,174.68 / $2,265.69	Professional		$873.41	$1,174.68	$2,265.69