Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.17 / $6,667.00 / $11,298.00	Facility		$950.17	$6,667.00	$11,298.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $528.83 / $528.83 / $772.47	Facility	54	$528.83	$528.83	$772.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.21 / $821.35 / $1,216.85	Professional		$641.21	$821.35	$1,216.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.36 / $958.04 / $2,208.79	Professional		$642.36	$958.04	$2,208.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $740.83 / $976.00 / $2,295.91	Professional		$740.83	$976.00	$2,295.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,544.92 / $5,544.92 / $10,574.69	Facility		$5,544.92	$5,544.92	$10,574.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.75 / $835.24 / $1,168.83	Professional		$659.75	$835.24	$1,168.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.77 / $904.92 / $1,550.05	Professional		$621.77	$904.92	$1,550.05