Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,890.45 / $8,128.31	Facility		$602.56	$3,890.45	$8,128.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,096.48 / $5,011.87 / $10,000.00	Facility	50	$1,096.48	$5,011.87	$10,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $309.03 / $1,949.84 / $2,570.40	Facility	52	$309.03	$1,949.84	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $269.15 / $851.14	Professional		$104.71	$269.15	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $144.54	Professional		$87.10	$102.33	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $323.59 / $1,096.48	Professional		$123.03	$323.59	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $588.84	Professional		$173.78	$371.54	$588.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,162.28	Facility		$1,258.93	$1,995.26	$3,162.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $302.00 / $741.31	Professional		$89.13	$302.00	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,762.47	Facility		$1,862.09	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $234.42 / $630.96	Professional		$83.18	$234.42	$630.96