Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.37 / $4,174.00 / $9,784.00	Facility		$94.37	$4,174.00	$9,784.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.19 / $47.19 / $206.18	Facility	52	$47.19	$47.19	$206.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $348.80 / $454.11	Professional		$94.37	$348.80	$454.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $440.95 / $1,322.73	Professional		$125.13	$440.95	$1,322.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $633.23 / $779.45	Professional		$195.32	$633.23	$779.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $1,710.56 / $3,709.35	Facility		$1,426.00	$1,710.56	$3,709.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $431.53 / $778.28	Professional		$91.84	$431.53	$778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.79 / $480.96 / $1,060.23	Professional		$259.79	$480.96	$1,060.23