Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.57 / $3,870.00 / $9,284.00	Facility		$155.57	$3,870.00	$9,284.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $74.92 / $77.79 / $488.51	Facility	52	$74.92	$77.79	$488.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $161.40 / $697.26	Professional		$121.85	$161.40	$697.26
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 $125.76 / $284.27 / $978.46	Professional		$125.76	$284.27	$978.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $669.94 / $886.32	Professional		$494.22	$669.94	$886.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.34 / $2,389.71 / $2,866.57	Facility		$2,313.34	$2,389.71	$2,866.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $290.12 / $789.57	Professional		$97.54	$290.12	$789.57
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 $129.40 / $499.04 / $1,181.00	Professional		$129.40	$499.04	$1,181.00