Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.52 / $4,736.00 / $8,155.00	Facility		$839.52	$4,736.00	$8,155.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.82 / $419.77 / $1,115.20	Facility	52	$102.82	$419.77	$1,115.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.64 / $565.09 / $1,443.18	Professional		$205.64	$565.09	$1,443.18
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 $256.01 / $682.70 / $2,719.35	Professional		$256.01	$682.70	$2,719.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $394.50 / $1,807.76 / $2,224.50	Professional		$394.50	$1,807.76	$2,224.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,472.53 / $8,633.08 / $19,437.70	Facility		$7,472.53	$8,633.08	$19,437.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $1,015.90 / $1,677.62	Professional		$174.45	$1,015.90	$1,677.62
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 $846.29 / $1,132.27 / $2,373.69	Professional		$846.29	$1,132.27	$2,373.69