Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $8.57 / $125.36	Facility		$1.99	$8.57	$125.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.29 / $23.98	Professional		$1.90	$2.29	$23.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $66.40 / $137.38	Facility		$20.95	$66.40	$137.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $3.39 / $34.69	Professional		$1.68	$3.39	$34.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $14.99 / $17.98	Professional		$2.90	$14.99	$17.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $13,785.00 / $13,785.00	Facility		$20.99	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $20.99 / $20.99	Professional		$2.46	$20.99	$20.99
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $17.17 / $29.98	Professional		$3.55	$17.17	$29.98