Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $7.24 / $50.12	Facility		$4.17	$7.24	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $27.54	Professional		$2.00	$2.69	$27.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $7.94 / $16.60	Facility		$4.07	$7.94	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.88 / $5.13	Professional		$1.95	$2.88	$5.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.82 / $3.39	Professional		$1.45	$1.82	$3.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $10,715.19 / $25,118.86	Facility		$3.63	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.75 / $3.39	Professional		$2.19	$2.75	$3.39
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $3.63 / $7.41	Facility		$1.70	$3.63	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.19 / $4.37	Professional		$1.45	$2.19	$4.37