Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $30.23 / $125.39	Facility		$13.36	$30.23	$125.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $15.22 / $21.45	Professional		$13.37	$15.22	$21.45
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $35.28 / $35.28	Professional		$35.28	$35.28	$35.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $44.75 / $92.33	Facility		$14.08	$44.75	$92.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $14.22 / $23.13	Professional		$11.12	$14.22	$23.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $11.08 / $16.12	Professional		$9.27	$11.08	$16.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $8,702.00 / $13,785.00	Facility		$14.11	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $14.11 / $17.00	Professional		$14.11	$14.11	$17.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $12.09 / $25.23	Professional		$8.06	$12.09	$25.23