Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $38.90 / $169.82	Facility		$0.11	$38.90	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $83.18 / $95.50	Professional		$25.12	$83.18	$95.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $66.07 / $138.04	Facility		$29.51	$66.07	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $43.65	Professional		$8.13	$11.48	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $17.78	Professional		$12.02	$14.13	$17.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $10,471.29 / $25,118.86	Facility		$30.20	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.48 / $26.30	Professional		$10.96	$11.48	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $61.66	Facility		$14.13	$30.20	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.98 / $20.89	Professional		$10.47	$16.98	$20.89