Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $204.17	Facility		$25.70	$44.67	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.70 / $33.88	Professional		$10.00	$25.70	$33.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $75.86 / $154.88	Facility		$38.90	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $52.48	Professional		$20.42	$38.90	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.22 / $19.95	Professional		$13.80	$16.22	$19.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $9,549.93 / $25,118.86	Facility		$33.88	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $28.18	Professional		$20.42	$22.39	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $33.88 / $70.79	Facility		$16.22	$33.88	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $36.31	Professional		$13.80	$20.42	$36.31