Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.09 / $5,521.00 / $9,784.00	Facility		$553.09	$5,521.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,201.00 / $1,201.00 / $1,201.00	Facility	50	$1,201.00	$1,201.00	$1,201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.70 / $597.08 / $965.63	Professional		$478.70	$597.08	$965.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.39 / $725.82 / $1,748.61	Professional		$475.39	$725.82	$1,748.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $525.05 / $709.89 / $1,669.94	Professional		$525.05	$709.89	$1,669.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,728.33 / $5,198.14 / $6,448.77	Facility		$4,728.33	$5,198.14	$6,448.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.15 / $659.58 / $967.65	Professional		$496.15	$659.58	$967.65
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 $470.15 / $635.51 / $1,165.66	Professional		$470.15	$635.51	$1,165.66