Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,370.32 / $10,000.00	Facility		$707.95	$5,370.32	$10,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	52	$2,344.23	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $1,348.96	Professional		$257.04	$616.60	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,754.23 / $3,630.78	Facility		$436.52	$2,754.23	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $588.84 / $1,380.38	Professional		$288.40	$588.84	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $776.25 / $1,380.38	Professional		$371.54	$776.25	$1,380.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $6,025.60	Facility		$2,454.71	$3,981.07	$6,025.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $707.95 / $1,288.25	Professional		$204.17	$707.95	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,011.87 / $8,511.38	Facility		$2,137.96	$5,011.87	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $501.19 / $1,122.02	Professional		$208.93	$501.19	$1,122.02