Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $6.81 / $27.07	Facility		$3.49	$6.81	$27.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.53 / $5.41	Professional		$3.36	$3.53	$5.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $96.90 / $99.20	Facility		$96.90	$96.90	$99.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $10.10 / $20.71	Facility		$3.16	$10.10	$20.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.60 / $6.71	Professional		$2.86	$3.60	$6.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.49 / $3.62	Professional		$1.81	$2.49	$3.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $13,785.00 / $13,785.00	Facility		$3.16	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $4.15	Professional		$3.16	$3.16	$4.15
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.71 / $6.31	Professional		$1.81	$2.71	$6.31