Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,466.84 / $7,943.28	Facility		$977.24	$4,466.84	$7,943.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	52	$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $831.76	Professional		$169.82	$354.81	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $199.53	Professional		$91.20	$162.18	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,754.23 / $3,630.78	Facility		$295.12	$2,754.23	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $812.83	Professional		$181.97	$354.81	$812.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $524.81 / $870.96	Professional		$245.47	$524.81	$870.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $4,677.35	Facility		$1,905.46	$3,019.95	$4,677.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $371.54 / $812.83	Professional		$141.25	$371.54	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $8,511.38	Facility		$2,089.30	$5,011.87	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $616.60	Professional		$138.04	$288.40	$616.60