Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.37 / $2,572.00 / $6,922.00	Facility		$144.37	$2,572.00	$6,922.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,088.69 / $2,088.69 / $2,088.69	Facility	52	$2,088.69	$2,088.69	$2,088.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $190.60 / $308.82	Professional		$80.53	$190.60	$308.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $239.03 / $605.49	Professional		$100.21	$239.03	$605.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $256.52 / $339.53 / $433.81	Professional		$256.52	$339.53	$433.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,683.65 / $3,210.89	Facility		$1,358.71	$1,683.65	$3,210.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $237.69 / $423.88	Professional		$79.12	$237.69	$423.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $3,961.00 / $9,152.00	Facility		$2,284.00	$3,961.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.18 / $329.01 / $689.90	Professional		$220.18	$329.01	$689.90