Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.28 / $2,632.62 / $5,982.00	Facility		$164.28	$2,632.62	$5,982.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $17.86 / $35.86 / $118.06	Facility	52	$17.86	$35.86	$118.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $162.83 / $274.94	Professional		$41.66	$162.83	$274.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $40.03 / $41.70	Professional		$39.89	$40.03	$41.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $76.48 / $76.48	Professional		$76.48	$76.48	$76.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $46.28 / $46.59	Facility		$46.28	$46.28	$46.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $122.90 / $365.77	Professional		$43.68	$122.90	$365.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $331.43 / $407.50	Professional		$239.43	$331.43	$407.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $190.88 / $320.76	Professional		$34.97	$190.88	$320.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $216.35 / $473.80	Professional		$157.66	$216.35	$473.80