Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.71 / $9,738.43 / $34,160.00	Facility		$637.71	$9,738.43	$34,160.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $318.86 / $318.86 / $503.40	Facility	52	$318.86	$318.86	$503.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $127.54 / $127.54 / $201.36	Facility	53	$127.54	$127.54	$201.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $609.74 / $977.48	Professional		$517.00	$609.74	$977.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,750.00 / $42,703.00 / $49,730.00	Facility		$15,750.00	$42,703.00	$49,730.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $894.82 / $1,864.10	Professional		$598.54	$894.82	$1,864.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $826.18 / $955.04 / $1,062.84	Professional		$826.18	$955.04	$1,062.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,360.00 / $18,669.00 / $59,787.85	Facility		$2,360.00	$18,669.00	$59,787.85
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.66 / $609.44 / $1,068.68	Professional		$469.66	$609.44	$1,068.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $11,859.00 / $52,056.00	Facility		$5,682.00	$11,859.00	$52,056.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.29 / $643.97 / $1,282.61	Professional		$508.29	$643.97	$1,282.61