Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $49.93 / $147.58	Facility		$19.97	$49.93	$147.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $19.97 / $30.86	Professional		$19.14	$19.97	$30.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $46.78 / $46.78	Professional		$46.78	$46.78	$46.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $57.02 / $118.22	Facility		$18.03	$57.02	$118.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $21.20 / $37.17	Professional		$16.52	$21.20	$37.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $14.19 / $20.64	Professional		$10.32	$14.19	$20.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $13,785.00 / $13,785.00	Facility		$18.05	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $24.77	Professional		$18.05	$18.05	$24.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $15.48 / $36.04	Professional		$9.99	$15.48	$36.04