Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.49 / $1,359.00 / $6,489.00	Facility		$164.49	$1,359.00	$6,489.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.06 / $82.25 / $100.50	Facility	52	$40.06	$82.25	$100.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $123.79 / $200.99	Professional		$61.79	$123.79	$200.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $62.76 / $62.76	Professional		$62.76	$62.76	$62.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $160.86 / $432.99	Professional		$78.79	$160.86	$432.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $231.71 / $232.75	Professional		$171.38	$231.71	$232.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,403.56 / $3,210.89	Facility		$1,358.71	$1,403.56	$3,210.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $138.31 / $305.80	Professional		$58.45	$138.31	$305.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $206.02 / $454.27	Professional		$121.79	$206.02	$454.27