Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $1,285.00 / $6,986.00	Facility		$62.72	$1,285.00	$6,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,396.00 / $1,396.00 / $2,311.00	Facility	50	$1,396.00	$1,396.00	$2,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $80.95 / $136.16	Professional		$47.64	$80.95	$136.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $122.58 / $342.42	Professional		$51.74	$122.58	$342.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $122.39 / $149.99	Professional		$88.64	$122.39	$149.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $313.39 / $597.64	Facility		$313.39	$313.39	$597.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $80.09 / $148.32	Professional		$37.38	$80.09	$148.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $90.81 / $197.81	Professional		$44.70	$90.81	$197.81