Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.42 / $7,484.00 / $11,798.00	Facility		$1,179.42	$7,484.00	$11,798.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $813.63 / $813.63 / $884.57	Facility	54	$813.63	$813.63	$884.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.60 / $925.43 / $1,512.22	Professional		$729.60	$925.43	$1,512.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.72 / $1,194.22 / $2,628.90	Professional		$603.72	$1,194.22	$2,628.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $665.25 / $735.18 / $1,729.42	Professional		$665.25	$735.18	$1,729.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,850.15 / $9,419.62 / $21,208.63	Facility		$8,850.15	$9,419.62	$21,208.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.08 / $1,062.69 / $1,569.47	Professional		$776.08	$1,062.69	$1,569.47
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 $534.29 / $1,073.70 / $2,039.85	Professional		$534.29	$1,073.70	$2,039.85