Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.66 / $4,294.00 / $9,284.00	Facility		$613.66	$4,294.00	$9,284.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,291.00 / $6,291.00 / $11,877.00	Facility	50	$6,291.00	$6,291.00	$11,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.74 / $608.25 / $940.78	Professional		$449.74	$608.25	$940.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.86 / $839.92 / $2,069.08	Professional		$461.86	$839.92	$2,069.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $857.17 / $1,124.61 / $1,380.02	Professional		$857.17	$1,124.61	$1,380.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,362.84 / $7,226.00 / $16,013.10	Facility		$6,362.84	$7,226.00	$16,013.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.86 / $699.03 / $1,204.46	Professional		$393.86	$699.03	$1,204.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $5,803.00 / $10,334.00	Facility		$2,300.00	$5,803.00	$10,334.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.62 / $723.60 / $1,542.28	Professional		$401.62	$723.60	$1,542.28