Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.80 / $4,794.75 / $8,454.67	Facility		$368.80	$4,794.75	$8,454.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $121.24 / $188.04 / $672.47	Facility	52	$121.24	$188.04	$672.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $616.70 / $994.53	Professional		$221.05	$616.70	$994.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.23 / $245.77 / $295.41	Professional		$210.23	$245.77	$295.41
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 $244.20 / $594.08 / $1,493.57	Professional		$244.20	$594.08	$1,493.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $733.10 / $993.75 / $1,314.50	Professional		$733.10	$993.75	$1,314.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,173.32 / $4,611.96 / $8,795.46	Facility		$4,173.32	$4,611.96	$8,795.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $657.07 / $1,227.86	Professional		$205.06	$657.07	$1,227.86
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 $505.94 / $732.52 / $1,745.01	Professional		$505.94	$732.52	$1,745.01