Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $4,294.00 / $9,842.00	Facility		$139.94	$4,294.00	$9,842.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.98 / $27.99 / $47.96	Facility	53	$18.98	$27.99	$47.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $161.07 / $244.59	Professional		$76.23	$161.07	$244.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $70.88 / $173.43	Professional		$68.41	$70.88	$173.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.97 / $88.97 / $109.29	Facility		$88.97	$88.97	$109.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.63 / $188.54 / $415.56	Professional		$87.63	$188.54	$415.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.08 / $293.48 / $364.06	Professional		$214.08	$293.48	$364.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $185.06 / $343.01	Professional		$77.27	$185.06	$343.01
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 $182.56 / $253.72 / $494.28	Professional		$182.56	$253.72	$494.28