Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $4,370.00 / $9,784.00	Facility		$138.13	$4,370.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,446.00 / $10,446.00 / $10,446.00	Facility	50	$10,446.00	$10,446.00	$10,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $187.26 / $290.38	Professional		$130.51	$187.26	$290.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $230.64 / $538.05	Professional		$119.75	$230.64	$538.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $279.35 / $657.14	Professional		$212.01	$279.35	$657.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,577.22 / $5,671.88 / $6,448.77	Facility		$4,577.22	$5,671.88	$6,448.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $232.97 / $346.99	Professional		$122.00	$232.97	$346.99
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 $192.01 / $270.64 / $465.25	Professional		$192.01	$270.64	$465.25