Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $3,678.00 / $15,000.00	Facility		$148.60	$3,678.00	$15,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $62.60 / $74.30 / $146.96	Facility	52	$62.60	$74.30	$146.96
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.04 / $29.72 / $58.78	Facility	53	$25.04	$29.72	$58.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $201.08 / $264.88	Professional		$93.06	$201.08	$264.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $257.23 / $601.13	Professional		$105.64	$257.23	$601.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $331.60 / $385.51	Professional		$151.97	$331.60	$385.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,175.33 / $7,013.04 / $14,593.52	Facility		$6,175.33	$7,013.04	$14,593.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $200.71 / $355.66	Professional		$68.33	$200.71	$355.66
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 $186.51 / $254.92 / $644.74	Professional		$186.51	$254.92	$644.74