Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.87 / $4,049.00 / $9,784.00	Facility		$106.87	$4,049.00	$9,784.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.44 / $76.53 / $148.34	Facility	52	$53.44	$76.53	$148.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $153.05 / $259.62	Professional		$106.87	$153.05	$259.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $228.84 / $544.73	Professional		$121.49	$228.84	$544.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.45 / $257.93 / $316.61	Professional		$196.45	$257.93	$316.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.42 / $1,238.08 / $2,684.77	Facility		$1,192.42	$1,238.08	$2,684.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $168.11 / $290.45	Professional		$91.05	$168.11	$290.45
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 $127.66 / $186.54 / $375.58	Professional		$127.66	$186.54	$375.58