Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.42 / $3,230.00 / $8,155.00	Facility		$313.42	$3,230.00	$8,155.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $156.71 / $298.97 / $639.75	Facility	52	$156.71	$298.97	$639.75
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.68 / $86.69 / $250.95	Facility	53	$62.68	$86.69	$250.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.49 / $559.14 / $933.88	Professional		$268.49	$559.14	$933.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $218.72 / $411.57	Professional		$218.72	$218.72	$411.57
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 $290.70 / $597.62 / $1,393.41	Professional		$290.70	$597.62	$1,393.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $373.17 / $560.63 / $1,080.67	Professional		$373.17	$560.63	$1,080.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.34 / $2,389.71 / $5,821.85	Facility		$2,313.34	$2,389.71	$5,821.85
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.60 / $688.93 / $1,149.20	Professional		$236.60	$688.93	$1,149.20
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 $448.76 / $722.51 / $1,618.28	Professional		$448.76	$722.51	$1,618.28