Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.45 / $3,059.00 / $7,918.00	Facility		$248.45	$3,059.00	$7,918.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.74 / $111.37 / $561.33	Facility	52	$88.74	$111.37	$561.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $233.21 / $785.01	Professional		$168.36	$233.21	$785.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.32 / $161.32 / $165.49	Professional		$161.32	$161.32	$165.49
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 $175.86 / $451.12 / $1,266.79	Professional		$175.86	$451.12	$1,266.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $268.13 / $964.37	Professional		$207.19	$268.13	$964.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,721.86 / $3,721.86 / $4,611.96	Facility		$3,721.86	$3,721.86	$4,611.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $497.72 / $993.17	Professional		$146.06	$497.72	$993.17
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 $169.29 / $596.17 / $1,453.95	Professional		$169.29	$596.17	$1,453.95