Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.87 / $4,294.00 / $8,419.00	Facility		$189.87	$4,294.00	$8,419.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.52 / $326.94 / $589.85	Facility	52	$70.52	$326.94	$589.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.04 / $540.35 / $1,039.66	Professional		$141.04	$540.35	$1,039.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $473.23 / $1,630.46	Professional		$172.08	$473.23	$1,630.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $965.97 / $1,189.13	Professional		$266.30	$965.97	$1,189.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,047.81 / $3,461.28 / $8,189.76	Facility		$3,047.81	$3,461.28	$8,189.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $568.24 / $1,059.56	Professional		$123.04	$568.24	$1,059.56
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 $435.05 / $745.93 / $1,543.18	Professional		$435.05	$745.93	$1,543.18