Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $229.09	Facility		$43.65	$51.29	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $45.71	Professional		$20.89	$30.20	$45.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $85.11 / $177.83	Facility		$38.02	$85.11	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $44.67 / $58.88	Professional		$20.42	$44.67	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $22.91	Professional		$10.72	$18.20	$22.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $10,471.29 / $25,703.96	Facility		$38.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $33.88	Professional		$22.91	$25.70	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $38.90 / $79.43	Facility		$18.20	$38.90	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $39.81	Professional		$14.79	$22.91	$39.81