Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.04 / $5,647.00 / $11,260.00	Facility		$478.04	$5,647.00	$11,260.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,492.75 / $2,901.45 / $2,937.00	Facility	50	$2,492.75	$2,901.45	$2,937.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.04 / $607.82 / $863.16	Professional		$478.04	$607.82	$863.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $414.06 / $414.06 / $414.06	Professional	50	$414.06	$414.06	$414.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.23 / $690.64 / $1,619.42	Professional		$408.23	$690.64	$1,619.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $579.33 / $771.70 / $1,815.33	Professional		$579.33	$771.70	$1,815.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,577.22 / $5,671.88 / $11,519.32	Facility		$4,577.22	$5,671.88	$11,519.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.64 / $677.59 / $934.14	Professional		$416.64	$677.59	$934.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.01 / $684.90 / $1,414.79	Professional		$526.01	$684.90	$1,414.79