Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $21.38 / $74.13	Facility		$12.30	$21.38	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $21.38	Professional		$7.94	$10.00	$21.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $27.54 / $56.23	Facility		$12.02	$27.54	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $17.38	Professional		$6.46	$9.12	$17.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.17 / $12.59	Professional		$4.90	$6.17	$12.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $10,715.19 / $25,118.86	Facility		$12.30	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $12.59	Professional		$8.51	$10.23	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.30 / $25.12	Facility		$5.75	$12.30	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.41 / $16.22	Professional		$4.90	$7.41	$16.22