Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $7,770.00 / $12,831.00	Facility		$1,273.00	$7,770.00	$12,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $702.85 / $702.85 / $702.85	Facility	54	$702.85	$702.85	$702.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.37 / $914.78 / $1,334.47	Professional		$731.37	$914.78	$1,334.47
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $109.71 / $130.49 / $173.12	Professional	55	$109.71	$130.49	$173.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.73 / $1,124.57 / $2,522.05	Professional		$673.73	$1,124.57	$2,522.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $744.89 / $999.78 / $2,351.86	Professional		$744.89	$999.78	$2,351.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,351.18 / $12,544.29 / $23,923.20	Facility		$11,351.18	$12,544.29	$23,923.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.16 / $973.03 / $1,399.99	Professional		$707.16	$973.03	$1,399.99
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 $676.37 / $898.19 / $1,682.81	Professional		$676.37	$898.19	$1,682.81