Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.43 / $5,647.00 / $10,871.00	Facility		$402.43	$5,647.00	$10,871.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,421.13 / $6,073.00 / $9,550.50	Facility	50	$2,421.13	$6,073.00	$9,550.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.53 / $483.34 / $721.38	Professional		$400.53	$483.34	$721.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.53 / $579.70 / $1,389.11	Professional		$351.53	$579.70	$1,389.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $483.10 / $639.99 / $1,505.49	Professional		$483.10	$639.99	$1,505.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,577.22 / $5,198.14 / $12,299.42	Facility		$4,577.22	$5,198.14	$12,299.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.14 / $546.30 / $763.62	Professional		$353.14	$546.30	$763.62
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 $414.87 / $572.55 / $1,012.68	Professional		$414.87	$572.55	$1,012.68