Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $2,677.00 / $9,125.00	Facility		$97.70	$2,677.00	$9,125.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.85 / $73.66 / $232.29	Facility	52	$48.85	$73.66	$232.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.54 / $29.46 / $92.92	Facility	53	$19.54	$29.46	$92.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $192.56 / $326.83	Professional		$90.81	$192.56	$326.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $82.54 / $116.14	Professional		$82.54	$82.54	$116.14
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 $98.11 / $225.27 / $542.76	Professional		$98.11	$225.27	$542.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $394.88 / $520.73	Professional		$270.89	$394.88	$520.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.60 / $2,279.40 / $4,347.04	Facility		$2,062.60	$2,279.40	$4,347.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $230.71 / $411.10	Professional		$79.95	$230.71	$411.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.43 / $267.55 / $561.46	Professional		$173.43	$267.55	$561.46