Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.70 / $4,791.00 / $9,936.00	Facility		$356.70	$4,791.00	$9,936.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,718.76 / $3,682.19 / $9,661.25	Facility	50	$1,718.76	$3,682.19	$9,661.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.50 / $352.40 / $528.65	Professional		$270.50	$352.40	$528.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $494.88 / $1,129.73	Professional		$267.45	$494.88	$1,129.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $441.19 / $579.02 / $710.08	Professional		$441.19	$579.02	$710.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,906.24 / $3,300.49 / $7,314.01	Facility		$2,906.24	$3,300.49	$7,314.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.36 / $397.69 / $642.58	Professional		$229.36	$397.69	$642.58
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 $218.80 / $367.96 / $751.26	Professional		$218.80	$367.96	$751.26