Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.91 / $4,241.99 / $8,084.00	Facility		$168.91	$4,241.99	$8,084.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.52 / $109.73 / $158.08	Facility	52	$61.52	$109.73	$158.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $255.59 / $381.43	Professional		$123.04	$255.59	$381.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $304.27 / $810.00	Professional		$137.40	$304.27	$810.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $377.95 / $464.89	Professional		$238.25	$377.95	$464.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.08 / $4,037.90 / $9,091.45	Facility		$3,495.08	$4,037.90	$9,091.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $234.86 / $417.11	Professional		$103.84	$234.86	$417.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.34 / $286.60 / $538.50	Professional		$189.34	$286.60	$538.50